Intracorporeal anastomosis in laparoscopic right-sided hemicolectomy

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

doi:https://doi.org/10.17116/hirurgia202203144

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

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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 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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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

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References:

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