Single-layer versus double-layer closure of the enterotomy in laparoscopic right hemicolectomy with intracorporeal anastomosis: a single-center study
Adult
Male
Anastomosis
Colon
Operative Time
Intracorporeal anastomosis
Anastomotic Leak
03 medical and health sciences
Right colon cancer
0302 clinical medicine
Ileum
Double layer
Surgical
80 and over
Anastomotic leakage
Humans
Anastomotic leakage; Double layer; Intracorporeal anastomosis; Laparoscopic right colectomy; Right colon cancer; Adult; Aged; Aged, 80 and over; Anastomosis, Surgical; Anastomotic Leak; Colectomy; Colon; Female; Humans; Ileum; Laparoscopy; Length of Stay; Male; Middle Aged; Operative Time; Retrospective Studies; Suture Techniques; Surgery; Gastroenterology
Colectomy
Aged
Retrospective Studies
Aged, 80 and over
Anastomosis, Surgical
Suture Techniques
Gastroenterology
Length of Stay
Middle Aged
Laparoscopic right colectomy
3. Good health
Surgery
Female
Laparoscopy
DOI:
10.1007/s10151-015-1378-2
Publication Date:
2015-10-15T15:52:18Z
AUTHORS (7)
ABSTRACT
The aim of our study was to evaluate the short-term outcomes of totally laparoscopic right colectomy, in particular to compare the incidence of leakage of the ileocolic anastomosis after either single-layer (SL) or double-layer (DL) enterotomy closure.From March 2010 to July 2014, 162 patients underwent laparoscopic right colectomy with intracorporeal ileocolic anastomosis. The enterotomy was closed with either SL (77 patients) or DL technique (85 patients). Short-term outcomes in both groups were retrospectively analyzed.Median time to perform the ileocolic anastomosis was similar in the two groups (17 min in SL versus 20 min in DL, p = 0.109). DL closure was associated with a significantly lower incidence of anastomotic leakage (1.2 % in DL vs 7.8 % in SL, p = 0.044). Shorter hospital stay was also observed in the DL group.Adoption of DL closure of the enterotomy resulted in significantly improved outcome. We strongly recommend a double-layer closure technique when performing an intracorporeal enterocolic anastomosis.
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