Implementation of intracorporeal anastomosis in laparoscopic right colectomy is safe and associated with a shorter hospital stay

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dc.contributor.authorJarry, Cristian
dc.contributor.authorCarcamo, Leonardo
dc.contributor.authorJose Gonzalez, Juan
dc.contributor.authorBellolio, Felipe
dc.contributor.authorMiguieles, Rodrigo
dc.contributor.authorUrrejola, Gonzalo
dc.contributor.authorZuniga, Alvaro
dc.contributor.authorCrovari, Fernando
dc.contributor.authorElena Molina, Maria
dc.contributor.authorTomas Larach, Jose
dc.date.accessioned2025-01-20T23:56:18Z
dc.date.available2025-01-20T23:56:18Z
dc.date.issued2021
dc.description.abstractReconstruction after laparoscopic right colectomy (LRC) can be achieved by performing an intracorporeal (IA) or an extracorporeal anastomosis (EA). This study aims to assess the safety of implementing IA in LRC, and to compare its perioperative outcomes with EA during an institution's learning curve. Patients undergoing elective LRC with IA or EA in a teaching university hospital between January 2015 and December 2018 were included. Demographic, clinical, perioperative and histopathological data were collated and outcomes investigated. One hundred and twenty-two patients were included; forty-three (35.2%) had an IA. The main indication for surgery was cancer in both groups (83.7% for IA and 79.8% for EA;p = 0.50). Operative time was longer for IA (180 [150-205] versus 150 [120-180] minutes;p < 0.001). A Pfannenstiel incision was used as extraction site in 97.7% of patients receiving an IA; while a midline incision was used in 97.5% of patients having an EA (p < 0.001). Hospital stay was significantly shorter for IA (3 [3, 4] versus 4 [3-6] days;p = 0.003). There were no differences in postoperative complications rates between groups. There was a 4.7% and 3.8% anastomotic leak rate in the IA and EA group, respectively (p = 1). Re-intervention and readmission rates were similar between groups, and there was no mortality during the study period. The implementation of IA in LRC is safe. Despite longer operative times, IA is associated with a shorter hospital stay when compared to EA in the setting of an institution's learning curve.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s13304-020-00840-4
dc.identifier.eissn2038-3312
dc.identifier.issn2038-131X
dc.identifier.urihttps://doi.org/10.1007/s13304-020-00840-4
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/95145
dc.identifier.wosidWOS:000544538400002
dc.issue.numero1
dc.language.isoen
dc.pagina.final100
dc.pagina.inicio93
dc.revistaUpdates in surgery
dc.rightsacceso restringido
dc.subjectIntracorporeal anastomosis
dc.subjectLaparoscopic right colectomy
dc.subjectRight hemicolectomy
dc.subjectImplementation
dc.subjectLearning curve
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleImplementation of intracorporeal anastomosis in laparoscopic right colectomy is safe and associated with a shorter hospital stay
dc.typeartículo
dc.volumen73
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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