Background and objective:Intra-corporeal delta-shaped anastomosis(IDA)is an important development in laparoscopic digestive-tract reconstruction.We applied it in laparoscopic right hemicolectomy for right colon cancer...Background and objective:Intra-corporeal delta-shaped anastomosis(IDA)is an important development in laparoscopic digestive-tract reconstruction.We applied it in laparoscopic right hemicolectomy for right colon cancer and compared the short-term outcomes between the patients treated with IDA and conventional extracorporeal anastomosis(EA).Methods:Between 1 January 2016 and 1 October 2017,36 and 50 patients who underwent IDA and EA,respectively,were included.Data on clinicopathological characteristics,surgical outcomes,post-operative recovery and complications were collected and compared between the two groups.Results:Surgical outcomes and clinicopathological characteristics were similar between the two groups except the length of incision,which was significantly shorter in the IDA group than in the EA group(4.660.6 vs 5.660.7 cm,P<0.001).The time to ground activities,fluid diet intake and post-operative hospitalization did not differ between the groups;however,the time to first flatus was significantly shorter in the IDA group than in the EA group(2.860.5 vs 3.260.8 days,P=0.004).The post-operative visual analogue scale for pain was lower in the IDA group than in the EA group on post-operative Day 1(4.060.7 vs 4.561.0,P=0.002)and post-operative Day 3(2.760.6 vs 3.460.6,P<0.001).The surgical complication rates were 8.3 and 16.0%in the IDA and EA groups(P=0.470),respectively.No complications such as anastomotic bleeding,stenosis and leakage occurred in any patient.Conclusions:IDA is safe and feasible and shows more satisfactory short-term outcomes than EA.展开更多
基金This work was supported by Beijing Terry Fox Run Foundation of Cancer Foundation of China(No.LC2016B10)Chinese Academy of Medical Sciences Initiative for Innovative Medicine(CAMS-2017-I2M-4-002)Postgraduate Innovation Fund Project of Peking Union Medical College in 2018(2018-1002-02-26).
文摘Background and objective:Intra-corporeal delta-shaped anastomosis(IDA)is an important development in laparoscopic digestive-tract reconstruction.We applied it in laparoscopic right hemicolectomy for right colon cancer and compared the short-term outcomes between the patients treated with IDA and conventional extracorporeal anastomosis(EA).Methods:Between 1 January 2016 and 1 October 2017,36 and 50 patients who underwent IDA and EA,respectively,were included.Data on clinicopathological characteristics,surgical outcomes,post-operative recovery and complications were collected and compared between the two groups.Results:Surgical outcomes and clinicopathological characteristics were similar between the two groups except the length of incision,which was significantly shorter in the IDA group than in the EA group(4.660.6 vs 5.660.7 cm,P<0.001).The time to ground activities,fluid diet intake and post-operative hospitalization did not differ between the groups;however,the time to first flatus was significantly shorter in the IDA group than in the EA group(2.860.5 vs 3.260.8 days,P=0.004).The post-operative visual analogue scale for pain was lower in the IDA group than in the EA group on post-operative Day 1(4.060.7 vs 4.561.0,P=0.002)and post-operative Day 3(2.760.6 vs 3.460.6,P<0.001).The surgical complication rates were 8.3 and 16.0%in the IDA and EA groups(P=0.470),respectively.No complications such as anastomotic bleeding,stenosis and leakage occurred in any patient.Conclusions:IDA is safe and feasible and shows more satisfactory short-term outcomes than EA.
