Intracorporeal anastomosis in laparoscopic right-sided hemicolectomy

Medvednikov A.A.

Regional Oncology Dispensary;
Irkutsk State Medical Academy of Postgraduate Education — Branch of the Russian Medical Academy for Continuous Professional Education

Radostev S.I.

Regional Oncology Dispensary;
Irkutsk State Medical University

Litvintsev A.A.

Regional Cancer Center

Shelekhov A.V.

Regional Oncology Dispensary;
Irkutsk State Medical University;
Irkutsk State Medical Academy of Postgraduate Education — Branch of the Russian Medical Academy for Continuous Professional Education

Sandakov Ya.P.

Irkutsk State Medical Academy of Postgraduate Education - Branch of the Russian Medical Academy for Continuing Professional Education

Zhuravlev I.S.

Regional Cancer Center

Vasilieva A.R.

Irkutsk State Medical University

Intracorporeal anastomosis in laparoscopic right-sided hemicolectomy

Authors:

Medvednikov A.A., Radostev S.I., Litvintsev A.A., Shelekhov A.V., Sandakov Ya.P., Zhuravlev I.S., Vasilieva A.R.

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Journal: Pirogov Russian Journal of Surgery. 2022;(3): 44‑49

DOI: 10.17116/hirurgia202203144

Downloaded: 38

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To cite this article:

Medvednikov AA, Radostev SI, Litvintsev AA, Shelekhov AV, Sandakov YaP, Zhuravlev IS, Vasilieva AR. Intracorporeal anastomosis in laparoscopic right-sided hemicolectomy. Pirogov Russian Journal of Surgery. 2022;(3):44‑49. (In Russ.)
https://doi.org/10.17116/hirurgia202203144

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To compare short-term results of intracorporeal (IA) and extracorporeal anastomosis (EA) in laparoscopic right-sided hemicolectomy.

MATERIAL AND METHODS

A retrospective and prospective analysis included 105 patients who underwent laparoscopic right-sided hemicolectomy with intracorporeal and extracorporeal anastomosis between 2016 and February 2021.

RESULTS

We analyzed 105 patients including 64 women and 41 men. Mean age of patients was 62.8±1.5 years in the EA group and 64.7±3.9 years in the IA group. Mean BMI was 24.8±0.5 kg/m² in the EA group (range 19 — 34.5) and 24.3±1.0 kg/m² in the IA group (range 21 — 30.4). Intracorporeal anastomosis was performed in 33 patients, extracorporeal anastomosis — in 72 ones. Surgery time was 180.0±7.3 min in the EA group and 214.2±17.7 min in the IA group. There were 8 complications in the EA group (p=0.046). No mortality was observed. Redo surgery rate was 4.16% in the EA group, while there were no redo procedures in the IA group. Postoperative hospital-stay was 12.2±0.5 days in the EA group and 8.8±1.0 days in the IA group.

CONSLUSION

Intracorporeal anastomosis is a safe approach for laparoscopic right-sided hemicolectomy.

Keywords:

intracorporeal

extracorporeal

anastomosis

laparoscopic right-sided hemicolectomy

Authors:

Medvednikov A.A.

Regional Oncology Dispensary;
Irkutsk State Medical Academy of Postgraduate Education — Branch of the Russian Medical Academy for Continuous Professional Education

Radostev S.I.

Regional Oncology Dispensary;
Irkutsk State Medical University

Litvintsev A.A.

Regional Cancer Center

Shelekhov A.V.

Regional Oncology Dispensary;
Irkutsk State Medical University;
Irkutsk State Medical Academy of Postgraduate Education — Branch of the Russian Medical Academy for Continuous Professional Education

Sandakov Ya.P.

Irkutsk State Medical Academy of Postgraduate Education - Branch of the Russian Medical Academy for Continuing Professional Education

Zhuravlev I.S.

Regional Cancer Center

Vasilieva A.R.

Irkutsk State Medical University

Received:

24.03.2021

Accepted:

23.11.2021

List of references:

Kaprin AD, Starinsky VV, Petrova GV. Sostoyanie onkologicheskoj pomoshchi naseleniyu Rossii v 2018 godu. M.: MNIOI im. P.A. Gertsena — filial FGBU «NMITs radiologii» Minzdrava Rossii; 2019 (In Russ.).
Fleshman J, Sargent DJ, Green E, Anvari M, Stryker SJ, Beart RW, et al. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg. 2007;246(4):655-662. https://doi.org/10.1097/SLA.0b013e318155a762
Deijen C, Vasmel J, de Lange-de Klerk E, et al. Ten-year outcomes of a randomised trial of laparoscopic versus open surgery for colon cancer. Surg Endosc. 2016;31(6):2607-2615. https://doi.org/10.1007/s00464-016-5270-6
Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J, Haglind E, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009;10(1):44-52. https://doi.org/10.1016/S1470-2045(08)70310-3
Green BL, Marshall HC, Collinson F, et al. Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer. Br J Surg. 2013;100(1):75-82. PMID: 23132548. https://doi.org/10.1002/bjs.8945
Zhao LY, Liu H, Wang YN, et al. Techniques and feasibility of laparoscopic extended right hemicolectomy with D3 lymphadenectomy. World J Gastroenterol. 2014;20(30):10531-6. PMID: 25132772. https://doi.org/10.3748/wjg.v20.i30.10531
Yamamoto S, Inomata M, Katayama H, et al. Short-term surgical outcomes from a randomized controlled trial to evaluate laparoscopic and open D3 dissection for stage II/III colon cancer: Japan Clinical Oncology Group Study JCOG 0404. Ann Surg. 2014;260(1):23-30. PMID: 24509190. https://doi.org/10.1097/SLA.0000000000000499
Shin JW, Amar AH, Kim SH, et al. Complete mesocolic excision with D3 lymph node dissection in laparoscopic colectomy for stages II and III colon cancer: long-term oncologic outcomes in 168 patients. Tech Coloproctol. 2014;18(9):795-803. PMID: 24633427. https://doi.org/10.1007/s10151-014-1134-z
Cano-Valderrama O, Sanz-López R, Domínguez-Serrano I, et al. Extraction-site incisional hernia after laparoscopic colorectal surgery: should we carry out a study about prophylactic mesh closure? Surg Endosc. 2019. https://doi.org/10.1007/s00464-019-07194-y
Lassen K, Soop M, Nygren J, et al. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg. 2009;144(10):961-969. PMID: 19841366. https://doi.org/10.1001/archsurg.2009.170
Clavien PA, Barkun J, de Oliveira ML, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009;250(2):187-196. PMID: 19638912.
Ayupov RT, Safiullin RI, Garipov MR, et al. Initial Results of D3 Lymphadenectomy in the Surgical Treatment of Cancer of the Right Half of the Segmented Intestine. Creative Surgery and Oncology. 2018;8(2):58-62. (In Russ.). https://doi.org/10.24060/2076-3093-2018-8-2-58-62
Chernikovskiy IL, Melnikov PV, Savanovich NV, Gavrilyukov AV, Chernikov DA, Markushin LI. Intracorporeal anastomosis in laparoscopic right hemicolectomy: a review of evidence and a single-center experience. Khirurgiya. Zhurnal im. N.I. Pirogova. 2019;(8):65-69. (In Russ.). https://doi.org/10.17116/hirurgia201908265
Bollo J, Turrado V, Rabal A, Carrillo E, Gich I, Martinez MC, Hernandez P, Targarona E. Randomized clinical trial of intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy (IEA trial). Br J Surg. 2020;107(4):364-372. Epub 2019 Dec 17. PMID: 31846067. https://doi.org/10.1002/bjs.11389
Allaix ME, Degiuli M, Bonino MA, Arezzo A, Mistrangelo M, Passera R, Morino M. Intracorporeal or Extracorporeal Ileocolic Anastomosis After Laparoscopic Right Colectomy: A Double-blinded Randomized Controlled Trial. Ann Surg. 2019;270(5):762-767. PMID: 31592811. https://doi.org/10.1097/SLA.0000000000003519
Zemlyanoy VP, Chernikovskiy IL, Ivanov AS, Sigua BV, Ryllo AG. Vnedrenie laparoskopicheskikh tekhnologij v khirurgiyu kolorektal’nogo raka. Tazovaya khirurgiya i onkologiya. 2014;4. (In Russ.).
Melnikov PV, Chernikovskiy IL, Kanner DYu, Savanovich NV, Gavrilyukov AV, Chernikov DA, Markushin LI. Bezopasnost’ intrakorporal’nykh anastomozov pri pravostoronnikh gemikolektomiyakh na etape prokhozhdeniya krivoj obucheniya. Tazovaya khirurgiya i onkologiya. 2020;1. (In Russ.).

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