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253083

Intra- Versus Extra-Corporeal Anastomosis After Laparoscopic Right Hemicolectomy For Colon Cancer: A Comparative Study

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Last updated: 24 Dec 2024

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Abstract

Background: An anastomosis between the small and large intestines must be created after bowel resection. The best method for re-establishing continuity is extracorporeal anastomosis, although intracorporeal (IC) anastomosis is also an option that has been proven to be as secure and effective in a number of observational studies. Objective: This study aimed to standardize the most ideal technique of anastomosis after laparoscopic right hemicolectomy with the least chance for leakage and better quality of life for patient of cancer colon. Patients and Method: A prospective clinical trial study was conducted in the Onco-Surgery Unit, General Surgery Department, Faculty of Medicine, Zagazig University through the period from October 2021 to July 2022. The study included 18 patients with right side colon cancer for Laparoscopic right hemicolectomy. The patients were divided into two equal groups 9 cases for intracorporeal ileocolic anastomosis (Group A) and 9 cases for extracorporeal ileocolic anastomosis (Group B). Results: Our findings were mainly that EC anastomosis group had a significantly shorter operative time compared to group A (p value 0.004), and significantly longer postoperative hospital stay (p value 0.0001). In the current study, IC anastomosis had markedly lower complication rate 11.1% versus 88.9% in EC group (p value 0.0001). Conclusion: Intracorporeal (IC) anastomosis after laparoscopic hemicolectomy is time saving and less morbid technique compared to extracorporeal anastomosis.  

DOI

10.21608/ejhm.2022.253083

Keywords

intracorporeal, extracorporeal, Anastomosis, Right hemicolectomy, Anastomotic leakage

Authors

First Name

Osama Abdel Aziz Mohamed

Last Name

Eltih

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First Name

Nawel El Sayed

Last Name

Hussein

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First Name

Mahammed Rajab Mostafa

Last Name

Abouda

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Affiliation

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Email

aboudamahammed@gmail.com

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First Name

Ahmed Kamal

Last Name

El-taher

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Volume

88

Article Issue

1

Related Issue

33970

Issue Date

2022-07-01

Receive Date

2022-08-04

Publish Date

2022-07-01

Page Start

3,986

Page End

3,989

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_253083.html

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https://ejhm.journals.ekb.eg/service?article_code=253083

Order

275

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Intra- Versus Extra-Corporeal Anastomosis After Laparoscopic Right Hemicolectomy For Colon Cancer: A Comparative Study

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Article

Created At

22 Jan 2023