Authors: Ron Shapiro Uri Keler Lior Segev Stav Sarna Kamal Hatib David Hazzan
Publish Date: 2015/12/10
Volume: 30, Issue: 9, Pages: 3823-3829
Abstract
This is a comparative study of two anastomosis techniques for laparoscopic right hemicolectomy A total of 191 consecutive patients operated for neoplasm of the right colon were identified The intracorporeal group included 91 patients and the extracorporeal group 100 patientsPatient demographics and diseaserelated characteristics were similar Mean operative time was longer in the intracorporeal group 155 vs 142 min P = 0006 Intracorporeal anastomosis was associated with less overall postoperative complications 187 vs 35 P = 0011 and decreased rate of surgical site infections 44 vs 14 P = 0023 The need for postoperative intervention Clavien–Dindo 3 was higher in the extracorporeal group 7 vs 0 P = 0015 There was no statistically significant difference in the incidence of postoperative leak ileus and bleeding Mean length of stay was significantly shorter in the intracorporeal group 59 ± 21 vs 69 ± 30 P = 004 Moreover more patients with intracorporeal anastomosis had a length of stay shorter than 4 days 286 vs 141 P = 0015 Extraction incision was periumbilical in 99 of the patients in the extracorporeal group In the intracorporeal group extraction incision was transverse suprapubic Pfannenstiel in 857 transvaginal in 99 and periumbilical in 33 of the patients The incidence rate of incisional hernia was lower in the intracorporeal group 22 vs 170 P = 0001
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