The Short?term Analysis of Overlapped Delta?shaped Anastomosis in Total Laparoscopic Transverse Colectomy
10.3760／cma.j.issn.0253?3766.2019.03.007
- VernacularTitle:重叠三角吻合在完全腹腔镜横结肠癌根治术中的应用效果
- Author:
Hao SU
1
;
Mandula BAO
;
Peng WANG
;
Xuewei WANG
;
Jianwei LIANG
;
Qian LIU
;
Xishan WANG
;
Zhixiang ZHOU
;
Haitao ZHOU
Author Information
1. 国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院结直肠外科100021
- Keywords:
Colonic neoplasms;
Overlapped delta?shaped anastomosis;
Digestive tract reconstruction;
Total laparoscopic surgery;
Colectomy
- From:
Chinese Journal of Oncology
2019;41(3):188-192
- CountryChina
- Language:Chinese
-
Abstract:
Objective The aim of this study was to explore the clinical safety, feasibility and short?term effect of overlapped delta?shaped anastomosis in total laparoscopic transverse colectomy. Methods The records, which were based on China National Cancer Center, of 20 and 31 patients who underwent total laparoscopic transverse colectomy with overlapped delta?shaped anastomosis and laparoscopic?assisted transverse colectomy with conventional extracorporeal anastomosis, from March 2017 to May 2018 were reviewed retrospectively. Data regarding surgical outcomes, postoperative recovery, pathological outcomes and perioperative complications were collected and compared. Results There was no difference between the two groups in overall operation time, anastomosis time and intraoperative blood loss (P＞0.05), however, the length of incision was significantly shorter in overlapped delta?shaped group [(4.7±0.6) cm vs.(5.5± 1.0) cm,P＝0.002]. The time to ground activities, first flatus and postoperative hospitalization did not differ between the two groups ( P＞0.05). The postoperative visual analogue scale was lower in the overlapped delta?shaped group than the control group on postoperative day 1 ( 3.7± 0.7 vs. 4.2 ± 0.9,P＝0.015) and postoperative day 3 (2.7±0.5 vs. 3.2±0.9,P＝0.040). The perioperative complication rates were 10.0% and 12.9% in the overlapped delta?shaped group and the control group, respectively, and the difference was not significant ( P ＝ 0. 753 ). Conclusion Compared to conventional extracorporeal anastomosis, total laparoscopic transverse colectomy with overlapped delta?shaped anastomosis was a safe and feasible procedure with satisfactory short?term effect, shorter incision and less postoperative pain.
