Laparoscopic Right Colectomy. Intracorporeal Anastomosis Is Associated with Better Outcome

2020 ◽  
Author(s):  
Giulio Aniello Santoro ◽  
Simone Novello ◽  
Ugo Grossi ◽  
Martino Zucchella ◽  
Andrea Kazemi Nava ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Meta Analysis ◽  
Laparoscopic Approach ◽  
Standard Of Care ◽  
Intracorporeal Anastomosis ◽  
Right Colectomy ◽  
Laparoscopic Right Colectomy ◽  
Right Colon Cancer ◽  
Complications Rate ◽  
Developed World

Colon cancer is the third most common cancer in man and woman in the developed world. Laparoscopic right colectomy is the standard of care for right colon cancer. Since the first report on laparoscopic approach in 1991, the surgical technique has been improved and currently all procedure is performed intracorporeally. The ileo-colic anastomosis can be performed either intracorporeal and extracorporeal: the differences in clinical outcome, complications rate, hospital stay and quality of life between that two techniques are not still clear and a large number of studies has been published about that. According to most recent meta-analysis, intracorporeal anastomosis have showed better outcome in anastomotic leakage rate, surgical site infection rate, development of incisional hernia, postoperative pain and recovery of gastrointestinal function.

Postoperative Complications Associated With Intra- Versus Extracorporeal Anastomosis for Laparoscopic Right Colectomy

2021 ◽  
pp. 000313482110234
Author(s):  
Mitsuru Ishizuka ◽  
Norisuke Shibuya ◽  
Kazutoshi Takagi ◽  
Hiroyuki Hachiya ◽  
Kazuma Tago ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Meta Analysis ◽  
Intracorporeal Anastomosis ◽  
Right Colectomy ◽  
Case Control Studies ◽  
Random Effects Models ◽  
Laparoscopic Right Colectomy ◽  
Significant Difference ◽  
Extracorporeal Anastomosis ◽  
Reduced Risk

Objective To compare the postoperative complications of intracorporeal anastomosis (ICA) and extracorporeal anastomosis (ECA) in patients undergoing laparoscopic right colectomy (LRC). Background Although several studies have compared postoperative complications of ICA and ECA after LRC, most were retrospective studies. Methods We performed a comprehensive electronic search of the literature to identify studies that compared postoperative complications between ICA and ECA in patients who underwent LRC. We performed meta-analysis using random-effects models to calculate the risk ratio (RR) and 95% confidence interval (CI) of experiencing complications, and we analyzed heterogeneity using I2 statistics. Results Fifteen studies consist of randomized controlled trials, case-control studies, and propensity score matching studies involving a total of 3219 patients who underwent LRC were included. Among 1377 patients who received ICA, 255 (18.5%) had postoperative complications, whereas among 1652 patients who received ECA, 373 (22.6%) had such complications. The results of the meta-analysis revealed that ICA was associated with a significantly reduced risk of postoperative complications (RR, .73; 95% CI: .57-.95; P = .02; I2 = 57%) compared with ECA. Although there was no significant difference between the 2 groups in risk of anastomotic leakage (RR, .67; 95% CI: .39-1.17; P = .16; I2 = 8%), there was a significant difference between them in risk of surgical site infection (RR, .50; 95% CI: .34-.71; P = .0002; I2 = 0%). Conclusions Intracorporeal anastomosis is associated with a reduced risk of postoperative complications compared with ECA in patients undergoing LRC.

Three-Port Laparoscopic Right Colectomy Versus Conventional Five-Port Laparoscopy for Right-Sided Colon Cancer

2019 ◽  
Vol 29 (4) ◽  
pp. 465-470
Author(s):  
Han-Gil Kim ◽  
Young-Tae Ju ◽  
Jin-Kwon Lee ◽  
Soon-Chan Hong ◽  
Young-Joon Lee ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Right Colectomy ◽  
Laparoscopic Right Colectomy

scholarly journals Advantages of robotic right colectomy over laparoscopic right colectomy beyond the learning curve: a systematic review and meta-analysis

2020 ◽  
Vol 5 ◽  
pp. 33-33
Author(s):  
Lelde Lauka ◽  
Francesco Brunetti ◽  
Nassiba Beghdadi ◽  
Margherita Notarnicola ◽  
Daniele Sommacale ◽  
...  
Keyword(s):  
Systematic Review ◽  
Learning Curve ◽  
Meta Analysis ◽  
Right Colectomy ◽  
Laparoscopic Right Colectomy ◽  
Robotic Right Colectomy
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