Introduction: This study aimed at assessing the long-term oncological outcomes of intracorporeal ileocolic anastomosis (ICA) for laparoscopic right hemicolectomy for colon cancer compared with extracorporeal anastomosis (ECA). Material and methods: We performed a retrospective analysis of 149 consecutive patients who underwent laparoscopic right hemicolectomy for colon cancer between January 2006 and December 2012. Results: Eighty and 69 patients underwent intracorporeal and ECA, respectively. The two groups were demographically comparable. ICA exhibited a significantly shorter operative time (p <.0001), while local relapse and length of hospital stay did not significantly differ among the groups (p =.724 and.310, respectively). There was no significant difference in median number of retrieved lymph node. The overall survival and the disease-free survival at five years did not significantly differ among the groups. Conclusions: Intracorporeal ICA can reduce operative time and is associated with similar postoperative and long-term oncological outcomes compared to the ECA technique.

Extracorporeal versus intracorporeal anastomosis in laparoscopic right hemicolectomy for cancer

Gabriele Anania
Primo
;
Nicola Tamburini
Methodology
;
Marcello Sanzi
Writing – Original Draft Preparation
;
Antonio Schimera
Resources
;
Cristina Bombardini
Methodology
;
Giuseppe Resta
Investigation
;
Serafino Marino
Investigation
;
Giorgia Valpiani
Formal Analysis
;
Giorgio Cavallesco
Ultimo
2022

Abstract

Introduction: This study aimed at assessing the long-term oncological outcomes of intracorporeal ileocolic anastomosis (ICA) for laparoscopic right hemicolectomy for colon cancer compared with extracorporeal anastomosis (ECA). Material and methods: We performed a retrospective analysis of 149 consecutive patients who underwent laparoscopic right hemicolectomy for colon cancer between January 2006 and December 2012. Results: Eighty and 69 patients underwent intracorporeal and ECA, respectively. The two groups were demographically comparable. ICA exhibited a significantly shorter operative time (p <.0001), while local relapse and length of hospital stay did not significantly differ among the groups (p =.724 and.310, respectively). There was no significant difference in median number of retrieved lymph node. The overall survival and the disease-free survival at five years did not significantly differ among the groups. Conclusions: Intracorporeal ICA can reduce operative time and is associated with similar postoperative and long-term oncological outcomes compared to the ECA technique.
2022
Anania, Gabriele; Tamburini, Nicola; Sanzi, Marcello; Schimera, Antonio; Bombardini, Cristina; Resta, Giuseppe; Marino, Serafino; Valpiani, Giorgia; Valentini, Alessandra; Cavallesco, Narciso Giorgio
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/2419012
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