Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study

Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recove...
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Autor*in:	Fangqian Chen [verfasserIn] Zeping Lv [verfasserIn] Wenqing Feng [verfasserIn] Zhuoqing Xu [verfasserIn] Yiming Miao [verfasserIn] Zifeng Xu [verfasserIn] Yuchen Zhang [verfasserIn] Han Gao [verfasserIn] Minhua Zheng [verfasserIn] Yaping Zong [verfasserIn] Jingkun Zhao [verfasserIn] Aiguo Lu [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Anastomosis Intracorporeal Extracorporeal Laparoscopic right colectomy Totally laparoscopic right colectomy Laparoscopy-assisted right colectomy

Übergeordnetes Werk:	In: World Journal of Surgical Oncology - BMC, 2003, 21(2023), 1, Seite 8
Übergeordnetes Werk:	volume:21 ; year:2023 ; number:1 ; pages:8

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s12957-023-03023-8

Katalog-ID:	DOAJ09053039X

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520			\|a Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. Conclusions IIA is associated with faster GI function recovery and less postoperative pain and may be more favorable for obese patients.
650		4	\|a Anastomosis
650		4	\|a Intracorporeal
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650		4	\|a Laparoscopic right colectomy
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650		4	\|a Laparoscopy-assisted right colectomy
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653		0	\|a Neoplasms. Tumors. Oncology. Including cancer and carcinogens
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allfields	10.1186/s12957-023-03023-8 doi (DE-627)DOAJ09053039X (DE-599)DOAJ201a2d85e4084c5c9eefb5a1da506a7e DE-627 ger DE-627 rakwb eng RD1-811 RC254-282 Fangqian Chen verfasserin aut Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. Conclusions IIA is associated with faster GI function recovery and less postoperative pain and may be more favorable for obese patients. Anastomosis Intracorporeal Extracorporeal Laparoscopic right colectomy Totally laparoscopic right colectomy Laparoscopy-assisted right colectomy Surgery Neoplasms. Tumors. Oncology. Including cancer and carcinogens Zeping Lv verfasserin aut Wenqing Feng verfasserin aut Zhuoqing Xu verfasserin aut Yiming Miao verfasserin aut Zifeng Xu verfasserin aut Yuchen Zhang verfasserin aut Han Gao verfasserin aut Minhua Zheng verfasserin aut Yaping Zong verfasserin aut Jingkun Zhao verfasserin aut Aiguo Lu verfasserin aut In World Journal of Surgical Oncology BMC, 2003 21(2023), 1, Seite 8 (DE-627)369082907 (DE-600)2118383-1 14777819 nnns volume:21 year:2023 number:1 pages:8 https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/article/201a2d85e4084c5c9eefb5a1da506a7e kostenfrei https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/toc/1477-7819 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2023 1 8
spelling	10.1186/s12957-023-03023-8 doi (DE-627)DOAJ09053039X (DE-599)DOAJ201a2d85e4084c5c9eefb5a1da506a7e DE-627 ger DE-627 rakwb eng RD1-811 RC254-282 Fangqian Chen verfasserin aut Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. Conclusions IIA is associated with faster GI function recovery and less postoperative pain and may be more favorable for obese patients. Anastomosis Intracorporeal Extracorporeal Laparoscopic right colectomy Totally laparoscopic right colectomy Laparoscopy-assisted right colectomy Surgery Neoplasms. Tumors. Oncology. Including cancer and carcinogens Zeping Lv verfasserin aut Wenqing Feng verfasserin aut Zhuoqing Xu verfasserin aut Yiming Miao verfasserin aut Zifeng Xu verfasserin aut Yuchen Zhang verfasserin aut Han Gao verfasserin aut Minhua Zheng verfasserin aut Yaping Zong verfasserin aut Jingkun Zhao verfasserin aut Aiguo Lu verfasserin aut In World Journal of Surgical Oncology BMC, 2003 21(2023), 1, Seite 8 (DE-627)369082907 (DE-600)2118383-1 14777819 nnns volume:21 year:2023 number:1 pages:8 https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/article/201a2d85e4084c5c9eefb5a1da506a7e kostenfrei https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/toc/1477-7819 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2023 1 8
allfields_unstemmed	10.1186/s12957-023-03023-8 doi (DE-627)DOAJ09053039X (DE-599)DOAJ201a2d85e4084c5c9eefb5a1da506a7e DE-627 ger DE-627 rakwb eng RD1-811 RC254-282 Fangqian Chen verfasserin aut Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. Conclusions IIA is associated with faster GI function recovery and less postoperative pain and may be more favorable for obese patients. Anastomosis Intracorporeal Extracorporeal Laparoscopic right colectomy Totally laparoscopic right colectomy Laparoscopy-assisted right colectomy Surgery Neoplasms. Tumors. Oncology. Including cancer and carcinogens Zeping Lv verfasserin aut Wenqing Feng verfasserin aut Zhuoqing Xu verfasserin aut Yiming Miao verfasserin aut Zifeng Xu verfasserin aut Yuchen Zhang verfasserin aut Han Gao verfasserin aut Minhua Zheng verfasserin aut Yaping Zong verfasserin aut Jingkun Zhao verfasserin aut Aiguo Lu verfasserin aut In World Journal of Surgical Oncology BMC, 2003 21(2023), 1, Seite 8 (DE-627)369082907 (DE-600)2118383-1 14777819 nnns volume:21 year:2023 number:1 pages:8 https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/article/201a2d85e4084c5c9eefb5a1da506a7e kostenfrei https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/toc/1477-7819 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2023 1 8
allfieldsGer	10.1186/s12957-023-03023-8 doi (DE-627)DOAJ09053039X (DE-599)DOAJ201a2d85e4084c5c9eefb5a1da506a7e DE-627 ger DE-627 rakwb eng RD1-811 RC254-282 Fangqian Chen verfasserin aut Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. Conclusions IIA is associated with faster GI function recovery and less postoperative pain and may be more favorable for obese patients. Anastomosis Intracorporeal Extracorporeal Laparoscopic right colectomy Totally laparoscopic right colectomy Laparoscopy-assisted right colectomy Surgery Neoplasms. Tumors. Oncology. Including cancer and carcinogens Zeping Lv verfasserin aut Wenqing Feng verfasserin aut Zhuoqing Xu verfasserin aut Yiming Miao verfasserin aut Zifeng Xu verfasserin aut Yuchen Zhang verfasserin aut Han Gao verfasserin aut Minhua Zheng verfasserin aut Yaping Zong verfasserin aut Jingkun Zhao verfasserin aut Aiguo Lu verfasserin aut In World Journal of Surgical Oncology BMC, 2003 21(2023), 1, Seite 8 (DE-627)369082907 (DE-600)2118383-1 14777819 nnns volume:21 year:2023 number:1 pages:8 https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/article/201a2d85e4084c5c9eefb5a1da506a7e kostenfrei https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/toc/1477-7819 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2023 1 8
allfieldsSound	10.1186/s12957-023-03023-8 doi (DE-627)DOAJ09053039X (DE-599)DOAJ201a2d85e4084c5c9eefb5a1da506a7e DE-627 ger DE-627 rakwb eng RD1-811 RC254-282 Fangqian Chen verfasserin aut Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. Conclusions IIA is associated with faster GI function recovery and less postoperative pain and may be more favorable for obese patients. Anastomosis Intracorporeal Extracorporeal Laparoscopic right colectomy Totally laparoscopic right colectomy Laparoscopy-assisted right colectomy Surgery Neoplasms. Tumors. Oncology. Including cancer and carcinogens Zeping Lv verfasserin aut Wenqing Feng verfasserin aut Zhuoqing Xu verfasserin aut Yiming Miao verfasserin aut Zifeng Xu verfasserin aut Yuchen Zhang verfasserin aut Han Gao verfasserin aut Minhua Zheng verfasserin aut Yaping Zong verfasserin aut Jingkun Zhao verfasserin aut Aiguo Lu verfasserin aut In World Journal of Surgical Oncology BMC, 2003 21(2023), 1, Seite 8 (DE-627)369082907 (DE-600)2118383-1 14777819 nnns volume:21 year:2023 number:1 pages:8 https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/article/201a2d85e4084c5c9eefb5a1da506a7e kostenfrei https://doi.org/10.1186/s12957-023-03023-8 kostenfrei https://doaj.org/toc/1477-7819 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2023 1 8
language	English
source	In World Journal of Surgical Oncology 21(2023), 1, Seite 8 volume:21 year:2023 number:1 pages:8
sourceStr	In World Journal of Surgical Oncology 21(2023), 1, Seite 8 volume:21 year:2023 number:1 pages:8
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Anastomosis Intracorporeal Extracorporeal Laparoscopic right colectomy Totally laparoscopic right colectomy Laparoscopy-assisted right colectomy Surgery Neoplasms. Tumors. Oncology. Including cancer and carcinogens
isfreeaccess_bool	true
container_title	World Journal of Surgical Oncology
authorswithroles_txt_mv	Fangqian Chen @@aut@@ Zeping Lv @@aut@@ Wenqing Feng @@aut@@ Zhuoqing Xu @@aut@@ Yiming Miao @@aut@@ Zifeng Xu @@aut@@ Yuchen Zhang @@aut@@ Han Gao @@aut@@ Minhua Zheng @@aut@@ Yaping Zong @@aut@@ Jingkun Zhao @@aut@@ Aiguo Lu @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	369082907
id	DOAJ09053039X
language_de	englisch
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Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. 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callnumber-first	R - Medicine
author	Fangqian Chen
spellingShingle	Fangqian Chen misc RD1-811 misc RC254-282 misc Anastomosis misc Intracorporeal misc Extracorporeal misc Laparoscopic right colectomy misc Totally laparoscopic right colectomy misc Laparoscopy-assisted right colectomy misc Surgery misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study
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topic_title	RD1-811 RC254-282 Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study Anastomosis Intracorporeal Extracorporeal Laparoscopic right colectomy Totally laparoscopic right colectomy Laparoscopy-assisted right colectomy
topic	misc RD1-811 misc RC254-282 misc Anastomosis misc Intracorporeal misc Extracorporeal misc Laparoscopic right colectomy misc Totally laparoscopic right colectomy misc Laparoscopy-assisted right colectomy misc Surgery misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
topic_unstemmed	misc RD1-811 misc RC254-282 misc Anastomosis misc Intracorporeal misc Extracorporeal misc Laparoscopic right colectomy misc Totally laparoscopic right colectomy misc Laparoscopy-assisted right colectomy misc Surgery misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
topic_browse	misc RD1-811 misc RC254-282 misc Anastomosis misc Intracorporeal misc Extracorporeal misc Laparoscopic right colectomy misc Totally laparoscopic right colectomy misc Laparoscopy-assisted right colectomy misc Surgery misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
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title	Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study
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title_full	Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study
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author_browse	Fangqian Chen Zeping Lv Wenqing Feng Zhuoqing Xu Yiming Miao Zifeng Xu Yuchen Zhang Han Gao Minhua Zheng Yaping Zong Jingkun Zhao Aiguo Lu
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author2-role	verfasserin
title_sort	intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study
callnumber	RD1-811
title_auth	Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study
abstract	Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. Conclusions IIA is associated with faster GI function recovery and less postoperative pain and may be more favorable for obese patients.
abstractGer	Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. Conclusions IIA is associated with faster GI function recovery and less postoperative pain and may be more favorable for obese patients.
abstract_unstemmed	Abstract Background The surgical procedure for laparoscopic right colectomy (LRC) is not standardized. Some published studies show the superiority of ileocolic anastomosis (IIA), but the evidence so far is insufficient. This study aimed to investigate the potential advantages in postoperative recovery and safety of IIA in LRC. Methods A total of 114 patients who underwent LRC with IIA (n = 58) or extracorporeal ileocolic anastomosis (EIA, n = 56) between January 2019 and September 2021 were enrolled. We collected certain factors as clinical features, intraoperative characteristics, oncological outcomes, postoperative recovery, and short-term outcomes. Our primary outcome was time to gastrointestinal (GI) function recovery. Secondary outcomes were postoperative complications within 30 days, postoperative pain, and length of hospital stay. Results Faster GI recovery and less postoperative pain were observed in patients with IIA compared to EIA [time to first flatus: (2.4 ± 0.7) vs (2.8 ± 1.0) days, p < 0.01; time to liquid intake: (3.5 ± 0.7) vs (4.0 ± 1.1) days, p = 0.01; postoperative visual analogue scale score: (3.9 ± 1.0) vs (4.3 ± 0.6), p = 0.02]. No significant differences were detected in oncological outcomes or postoperative complications. IIA, rather than EIA, tended to be performed in patients with higher body mass index [(23.93 ± 3.52) vs (22.36 ± 2.87) kg/m2, p = 0.01]. Conclusions IIA is associated with faster GI function recovery and less postoperative pain and may be more favorable for obese patients.
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title_short	Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study
url	https://doi.org/10.1186/s12957-023-03023-8 https://doaj.org/article/201a2d85e4084c5c9eefb5a1da506a7e https://doaj.org/toc/1477-7819
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author2	Zeping Lv Wenqing Feng Zhuoqing Xu Yiming Miao Zifeng Xu Yuchen Zhang Han Gao Minhua Zheng Yaping Zong Jingkun Zhao Aiguo Lu
author2Str	Zeping Lv Wenqing Feng Zhuoqing Xu Yiming Miao Zifeng Xu Yuchen Zhang Han Gao Minhua Zheng Yaping Zong Jingkun Zhao Aiguo Lu
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up_date	2024-07-03T15:17:50.739Z
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Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a retrospective study

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