The short-term effect analysis of intracorporeal delta-shaped anastomosis in total laparoscopic left hemicolectomy
10.3760/cma.j.issn.0253-3766.2018.04.013
- VernacularTitle: 应用腔内三角吻合技术行完全腹腔镜左半结肠切除术的近期疗效
- Author:
Hao SU
1
;
Jun HONG
2
;
Peng WANG
1
;
Mandula BAO
1
;
Xu GUAN
1
;
Jianwei LIANG
1
;
Qian LIU
1
;
Xishan WANG
1
;
Zhixiang ZHOU
1
;
Haitao ZHOU
1
Author Information
1. Department of Colorectal Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
2. Department of General Surgery, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China
- Publication Type:Clinical Trail
- Keywords:
Colon neoplasms;
Intracorporeal anastomosis;
Delta-shaped anastomosis;
Digestive tract reconstruction;
Total laparoscopic surgery
- From:
Chinese Journal of Oncology
2018;40(4):303-307
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The aim of this study was to explore the clinical safety and feasibility of intracorporeal delta-shaped anastomosis in total laparoscopic left hemicolectomy.
Methods:From January 1, 2017 to October 1, 2017, 11 patients who were diagnosed with left colon cancer and underwent total laparoscopic left hemicolectomy with intracorporeal delta-shaped anastomosis were retrospectively enrolled in this study. Clinicopathologic characteristics, surgical and postoperative outcomes were collected and analyzed.
Results:The median operation time was 121.8 minutes and the median time for anastomosis was 14.9 minutes. The median intraoperative blood loss was 45.5 ml. The lengths of the upper and lower segments of resection from colon cancer were 11.4 cm and 8.5 cm, respectively. The median number of lymph nodes retrieved was 29.5. The median time to ground activities, time to flatus, time to fluid diet intake and length of hospital stay were 1.4 days, 3.0 days, 3.8 days and 6.9 days, respectively. Only one patient suffered from incision infection during his hospitalization due to preoperative long-term smoking history. No mobility related to the anastomosis such as anastomotic bleeding, stenosis, obstruction and leakage occurred in any patients.
Conclusion:Total laparoscopic left hemicolectomy with intracorporeal delta-shaped anastomosis is a safe and feasible procedure with a satisfactory short-term effect.
