Short-term outcomes of intracorporeal versus extracorporeal anastomosis in laparoscopic surgery for right-sided colon cancer: A propensity score-matched study.

Tytuł:: Short-term outcomes of intracorporeal versus extracorporeal anastomosis in laparoscopic surgery for right-sided colon cancer: A propensity score-matched study.
Autorzy:: Sakurai T; Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Yamaguchi T; Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Noguchi T; Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Sakamoto T; Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.; Department of Clinical Epidemiology & Health Economics, School of Public Health, the University of Tokyo, Tokyo, Japan.
Mukai T; Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Hiyoshi Y; Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Nagasaki T; Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Akiyoshi T; Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Fukunaga Y; Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Źródło:: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2023 Jan; Vol. 16 (1), pp. 14-22. Date of Electronic Publication: 2022 Jul 13.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Japan : Wiley Blackwell
MeSH Terms:: Colonic Neoplasms*/surgery
Colonic Neoplasms*/complications
Laparoscopy*/methods
Humans ; Colectomy/methods ; Retrospective Studies ; Propensity Score ; Margins of Excision ; Anastomosis, Surgical/methods ; Surgical Wound Infection ; Treatment Outcome ; Postoperative Complications/etiology
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Contributed Indexing:: Keywords: anastomosis; colonic neoplasms; laparoscopy
Entry Date(s):: Date Created: 20220713 Date Completed: 20230104 Latest Revision: 20230111
Update Code:: 20240105
DOI:: 10.1111/ases.13108
PMID:: 35830958
: Czasopismo naukowe

Pełny tekst

Introduction: Recently, intracorporeal anastomosis (IA) has been attracting attention. We aimed to compare the short-term outcomes of IA and extracorporeal anastomosis (EA) in laparoscopic surgery for right-sided colon cancer, after propensity score matching.
Methods: We retrospectively reviewed 404 consecutive patients with right-sided primary colon cancer between January 2019 and July 2021, 359 of whom underwent laparoscopic surgery. We classified them into IA (n = 72) and EA (n = 287) groups. Propensity score matching analysis was performed, and the matched groups were compared.
Results: The IA group had a longer operation time and shorter time to first flatus, passage of stool, and oral intake. There were no differences in blood loss, postoperative complications, and postoperative hospital stay between the groups. The IA group had a higher inflammatory response in the laboratory data on postoperative day 1 compared to the EA group; however, there were no differences in the incidence of abdominal or surgical site infection (SSI). The IA group had a longer distal resection margin, and there were no peritoneal recurrences in either group.
Conclusion: In the IA group, patients had earlier bowel recovery and a longer distal resection margin; however, other postoperative clinical outcomes were comparable. Although there was a higher postoperative inflammatory response in IA, there was no significant difference in postoperative complications, including SSI and intra-abdominal infection. Although long-term outcomes are not yet available, IA could be a useful procedure.
(© 2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)

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