Intracorporeal Versus Extracorporeal Anastomosis in Robotic Right Colectomy
| Autor: | Helin Yikilmaz, Niclas Dohrn, Magnus Laursen, Steffen Brisling, Mads Klein, Henrik Jakobsen, Jakob Lykke, Ismail Gögenur, Faisal Khesrawi, Frederik Bjerg Clausen, Jens Ravn Eriksen, Frederik Sørensen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Anastomosis Surgical Robotics Anastomosis Extracorporeal law.invention Surgery Treatment Outcome Robotic Surgical Procedures Randomized controlled trial law Colonic Neoplasms Right Colectomy Humans Medicine Laparoscopy business Colectomy Retrospective Studies |
| Zdroj: | Annals of Surgery. 276:e294-e301 |
| ISSN: | 0003-4932 |
| DOI: | 10.1097/sla.0000000000005254 |
| Popis: | To determine if minimally invasive right colectomy with intra-corporeal anastomosis improves postoperative recovery compared to extra-corporeal anastomosis.Previous trials have shown that intracorporeal anastomosis improves postoperative recovery; however, it has not yet been evaluated in a setting with optimized perioperative care or with patient-related outcome measures.This was a multicenter, triple-blind, randomized clinical trial at two high-volume colorectal centers with strict adherence to optimized perioperative care pathways. The patients underwent robotic right colectomy with either intracorporeal or extracorporeal anastomosis. The primary outcome was patient-reported postoperative recovery measured using the "Quality of Recovery-15" questionnaire. ClinicalTrials.gov NCT03130166.A total of 89 patients were randomized and analyzed according to the "Intention-to-treat"-principle. We found no statistically significant differences in patient-reported recovery between the groups. Postoperative pain, nausea, time to ambulation, time to first passage of flatus/stool, length of hospital stay, and pathophysiological tests showed no differences either. The duration of time to create the anastomosis was significantly longer with intracorporeal anastomosis (17 vs 13 min, P = 0.003), while all other intraoperative, postoperative, and pathology variables showed no difference.There were no significant differences in postoperative recovery between the two groups. |
| Databáze: | OpenAIRE |
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