TITLE:
Comparison Study between Extracorporeal and Intracorporeal Anastomosis for Laparoscopic Right Hemicolectomy
AUTHORS:
Badawy M. Ahmed, Ebrahim Aboeleuon, Ahmed Soliman
KEYWORDS:
Extracorporeal Anastomosis, Intracorporeal Anastomosis, Laparoscopic Right Hemicolectomy
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.10 No.10,
October
8,
2019
ABSTRACT: Background: Nowadays, laparoscopic colectomy is considered a safe and effective
surgical technique regarding short- and long-term outcomes, as well as specific
oncologic outcomes. The anastomosis can be created intra- or extracorporeally. The goal of our study was to evaluate
and compare short term outcomes of extra- and intra-corporeal anastomosis after laparoscopic right hemi colectomies. Aim of the Study: The
goal of our study was to evaluate and compare short term outcomes of extra- and
intra-corporeal
anastomosis after laparoscopic right hemi colectomies. Methods: In the period from December 2014 to January 2019, all patients underwent laparoscopic right
hemicolectomy for cancer colon who presented to surgical oncology department—south Egypt cancer institute and general surgery department—Assiut University was analyzed. Data like age, sex, body mass index (BMI), operative
technique, operative times, blood loss, intra-
and post-operative
complications, pathology and hospital
stay were reported and analyzed. Results: Twenty three (69.7%) patients
underwent extracorporeal anastomosis while intracorporeal anastomosis was
performed in ten (30.3%) patients. There was no significant difference in
patient characteristics and demographic data in both groups (P > 0.05). There was no
statistically significant difference in operative (operative time, blood loss
or length of hospital stay) and postoperative (ileus, anastomotic leak, wound
infection, incisional hernia, readmission, reoperation or deaths) details in the 2 groups except in
length of the incision which was significantly shorter in the IA group (5.500 ±
1.269) vs. (6.565
± 1.308) for EA (P =
0.015). Conclusion: No significant difference in short term outcomes of laparoscopic-assisted and total laparoscopic right colectomy. Intracorporeal
anastomosis had shorter incision which may decrease wound-related complications.