首页|A totally mini-invasive approach for colorectal laparoscopic surgery
A totally mini-invasive approach for colorectal laparoscopic surgery
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NETL
NSTL
万方数据
维普
AIM:To study the short-term outcome of patients treated with laparoscopic right colectomy and how intracorporeal anastomosis has improved the outcome.METHODS:We retrospectively examined all patients affected by colorectal cancer who underwent a laparoscopic right colectomy between January 2006 and December 2010 in our department.Our evaluation criteria were:diagnosis of colorectal carcinoma at presurgical biopsy,elective surgery,and the same surgeon.We excluded:emergency surgery,conversions from laparotomic colectomy,and other surgeons.The endpoints we examined were:surgical time,number of lymph nodes removed,length of stay (removal of nasogastric tube,bowel movements,gas evacuation,solid and liquid feeding,hospitalization),and major complications.Seventy-two patients were divided into two groups:intracorporeal anastomosis (39 patients)and extracorporeal anastomosis (33 patients).RESULTS:Significant differences were observed between intracorporeal vs extracorporeal anastomosis,respectively,for surgical times (186.8 min vs 184.1min,P ＜ 0.001),time to resumption of gas evacuation (3 d vs 3.5 d,P ＜ 0.001),days until resumption of bowel movements (3.8 d vs 4.9 d,P ＜ 0.001),days until resumption of liquid diet (3.5 d Vs 4.5 d,P ＜0.001),days until resuming a solid diet (4.6 d vs 5.7 d,P ＜ 0.001),and total hospitalization duration (7.4 d vs 8.5 d,P ＜ 0.001).In the intracorporeal group,on average,19 positive lymph nodes were removed; in the extracorporeal group,on average,14 were removed P ＜ 0.001).Thus,intracorporeal anastomosis for right laparoscopic colectomy improved patient outcome by providing faster recovery of nutrition,faster recovery of intestinal function,and shorter hospitalization than extracorporeal anastomosis.CONCLUSION:Short-term outcomes favor intracorporeal anastomosis,confirming that a less traumatic surgical approach improves patient outcome.
NETL
NSTL
万方数据
维普
