Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study

Autor: Fangqian Chen, Zeping Lv, Wenqing Feng, Zhuoqing Xu, Yiming Miao, Zifeng Xu, Yuchen Zhang, Han Gao, Minhua Zheng, Yaping Zong, Jingkun Zhao, Aiguo Lu
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: World Journal of Surgical Oncology, Vol 21, Iss 1, Pp 1-8 (2023)
Druh dokumentu: article
ISSN: 1477-7819
DOI: 10.1186/s12957-023-03023-8
Popis: Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p
Databáze: Directory of Open Access Journals
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