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Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: short-term outcomes

2018-02Journal article Open access
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dc.contributor.authorGil, Inês Campos
dc.contributor.authorRama, Nuno
dc.contributor.authorParente, Diana
dc.contributor.authorSales, Inês
dc.contributor.authorAlves, Paulo
dc.contributor.authorClara, Paulo
dc.contributor.authorAmado, Sandra
dc.contributor.authorCoelho, Miguel
dc.contributor.authorFaria, Vítor
dc.date.accessioned2019-04-12T16:13:22Z
dc.date.available2019-04-12T16:13:22Z
dc.date.issued2018-02
dc.description.abstractBackground: Recently, there has been a growing enthusiasm in developing new techniques of intracorporeal anastomosis following laparoscopic colectomy, which are more challenging than extracorporeal techniques. However, the evidence is still lacking regarding the outcomes’ comparison of both procedures. Methods: We designed a retrospective study comparing intracorporeal and extracorporeal anastomosis following laparoscopic right colectomy. A total of 115 consecutive patients operated for right colon disease were identified, from September 1st 2014 to May 31st 2017. Patient demographics included age, gender, ASA score, past abdominal surgery, anticoagulant and steroid therapy, Diabetes Mellitus and preoperative diagnosis. The analysed outcomes included length of stay, operative time, blood loss, extraction site, postoperative complications (ileus, anastomotic failure and surgical site infection), reoperation rate, readmission rate and 30-day mortality. Results: The extracorporeal group included 84 and the intracorporeal group 31 patients. The intracorporeal group had less surgical site infections (3,2% versus 27,4%, p<0,05). There were no statistically significant differences in operative time, blood loss, ileus, anastomotic failure or mortality. Conclusion: Our study reveals similar outcomes for both intra- and extracorporeal anastomosis following laparoscopic right colectomy. Therefore, intracorporeal anastomosis seems to be a feasible and safe technique in the hands of experienced laparoscopic colorectal surgeons.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.21614/sgo-23-1-71pt_PT
dc.identifier.issn2559-723X
dc.identifier.urihttp://hdl.handle.net/10400.8/3906
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectLaparoscopypt_PT
dc.subjectColectomypt_PT
dc.subjectSurgical anastomosispt_PT
dc.subjectRetrospective studypt_PT
dc.titleIntracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: short-term outcomespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage78pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage71pt_PT
oaire.citation.titleSurgery, Gastroenterology and Oncologypt_PT
oaire.citation.volume23pt_PT
person.familyNamerama
person.familyNameAmado
person.givenNamenuno
person.givenNameSandra
person.identifier804352
person.identifier.ciencia-idE012-FE6B-9A38
person.identifier.ciencia-idD617-149A-8102
person.identifier.orcid0000-0002-1572-2239
person.identifier.orcid0000-0001-8356-4810
person.identifier.ridO-6988-2016
person.identifier.scopus-author-id16038616600
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf53f1716-07c4-4243-8758-8997a1a57840
relation.isAuthorOfPublicationaea9bcf4-4f9f-4b2d-9d73-fec5ad76dcc4
relation.isAuthorOfPublication.latestForDiscoveryf53f1716-07c4-4243-8758-8997a1a57840

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