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A comparison of extracorporeal side to side or end to side anastomosis following a laparoscopic right hemicolectomy for colon cancer.
Baqar, Ali Riaz; Wilkins, Simon; Wang, Wei Chun; Oliva, Karen; Centauri, Suellyn; Yap, Raymond; McMurrick, Paul.
Afiliación
  • Baqar AR; Cabrini Monash University Department of Surgery, Cabrini Hospital, Melbourne, Victoria, Australia.
  • Wilkins S; Cabrini Monash University Department of Surgery, Cabrini Hospital, Melbourne, Victoria, Australia.
  • Wang WC; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
  • Oliva K; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
  • Centauri S; Cabrini Institute, Melbourne, Victoria, Australia.
  • Yap R; Cabrini Monash University Department of Surgery, Cabrini Hospital, Melbourne, Victoria, Australia.
  • McMurrick P; Cabrini Monash University Department of Surgery, Cabrini Hospital, Melbourne, Victoria, Australia.
ANZ J Surg ; 92(6): 1472-1479, 2022 06.
Article en En | MEDLINE | ID: mdl-35403808
BACKGROUND: This study aimed to investigate whether an extracorporeal side-to-side (SS) or end-to-side (ES) stapled anastomosis impacts short-term and long-term outcomes after an oncological laparoscopic right hemicolectomy. METHODS: A retrospective cohort study of prospectively collected data from two Victorian tertiary referral hospitals was performed. Patients who underwent oncological resection for colorectal cancer between February 2010 and September 2020 were selected from the colorectal neoplasia database. Patients were divided into two groups depending on the type of stapled anastomosis: Group 1 (functional end-to-end/side-to-side (SS)); and Group 2 (end-to-side (ES)). Primary outcomes were anastomotic leak, postoperative ileus, mortality and morbidity, length of stay post-surgery, readmission to hospital, and 30-day mortality. RESULTS: This large case series of 1040 patients (SS = 625, ES = 415) demonstrated that the type of stapling technique impacted operative duration and postoperative ileus rates. Patients in the SS group had a faster operation of 108 min rather than 130 min in the ES group (p < 0.001). The SS group were more likely to experience a post-operative ileus (p < 0.001) with no impact on length of stay (SS, 7 days versus ES, 7 days; p = 0.14). There were no differences between the two groups with respect to lymph node yield, lymph node ratio, anastomotic leaks, return to theatre, 30-day mortality and 5-year overall survival. DISCUSSION: The type of extracorporeal stapled anastomosis following an oncological laparoscopic right hemicolectomy has minimal impact on morbidity and survival outcomes; however, a side-to-side stapled anastomosis is more likely to be a faster operation with a higher postoperative ileus rate.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Neoplasias del Colon / Ileus Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: ANZ J Surg Año: 2022 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Neoplasias del Colon / Ileus Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: ANZ J Surg Año: 2022 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia