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
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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