Safety and feasibility of overlapped delta-shaped anastomosis technique for digestive tract reconstruction during complete laparoscopic right hemicolectomy.
10.3760/cma.j.cn112152-20200714-00655
- VernacularTitle:完全腹腔镜右半结肠切除术中应用重叠式三角吻合技术行消化道重建的安全性和可行性
- Author:
Dula BAOMAN
1
;
Hao SU
1
;
Shou LUO
1
;
Zheng XU
1
;
Xue Wei WANG
1
;
Qian LIU
1
;
Zhi Xiang ZHOU
1
;
Xi Shan WANG
1
;
Hai Tao ZHOU
1
Author Information
1. Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100021, China.
- Publication Type:Journal Article
- Keywords:
Colonic neoplasms;
Digestive tract reconstruction;
Overlapped delta-shaped anastomosis;
Right hemicolectomy;
Totally laparoscopic surgery
- MeSH:
Anastomosis, Surgical/methods*;
Colectomy/methods*;
Colonic Neoplasms/surgery*;
Feasibility Studies;
Gastrointestinal Tract/surgery*;
Humans;
Laparoscopy/methods*;
Retrospective Studies;
Treatment Outcome
- From:
Chinese Journal of Oncology
2022;44(5):436-441
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the clinical safety and feasibility of overlapped delta-shaped anastomosis (ODA) in totally laparoscopic right hemicolectomy (TLRHC). Methods: From May 2017 to October 2019, of the 219 patients who underwent TLRHC at the Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, 104 cases underwent ODA (ODA group) and 115 cases underwent conventional extracorporeal anastomosis (control group) were compared the surgical outcomes, postoperative recovery, pathological outcomes and perioperative complications. Results: The length of the skin incision in the ODA group was significantly shorter than that in the control group [(5.6±0.9) cm vs. (7.1±1.7) cm, P<0.05], and the time to first flatus and first defecation after surgery in the ODA group was significantly earlier than that in the control group [(1.7±0.7) days vs. (2.0±0.7) days; (3.2±0.6) days vs. (3.3±0.7) days, P<0.05]. While the anastomosis time, operation time, intraoperative blood loss, the time of first ground activities, the number of bowel movements within 12 days after surgery, postoperative hospital stay, tumor size, the distal and proximal margins, the number of lymph node harvested and postoperative TNM stage in the ODA group did not differ from that of the control group (P>0.05). The postoperative complication rates of patients in the ODA group and the control group were 3.8% (4/104) and 4.3% (5/115), respectively, and the difference was not significant (P>0.05). Conclusion: The application of ODA technology in TLRHC can significantly shorten thelength of skin incisionand the recovery time of bowel function, and can obtain satisfactory short-term efficacy.
