Ileocolonic anastomosis after right hemicolectomy for colon cancer: functional end-to-end or end-to-side?

World Journal of Surgical Oncology

Xishan Wang³  Shan Muhammad²  Dazhuang Miao²  Yinggang Chen²  Ming Yang¹  Guiyu Wang²  Zheng Liu² 

[1] Department of Gastrointestinal Medical Oncology, The Third Affiliated Hospital of Harbin Medical University, 150 Haping Road, 150040 Harbin, China;Department of Colorectal Surgery, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, 150081 Harbin, China;Colorectal Cancer Institute, Harbin Medical University, 246 Xuefu Road, 150081 Harbin, China

关键词: right hemicolectomy;    colon cancer;    anastomosis;   

Others  :  1147814
DOI  :  10.1186/1477-7819-12-306

 received in 2013-10-02, accepted in 2014-10-01,  发布年份 2014

【 摘 要 】

Background

The purpose of this study was to compare short-term clinical outcomes of ileocolonic functional end-to-end anastomosis (FEEA) and end-to-side anastomosis (ESA) following resection of the right colon for cancer.

Methods

We enrolled 379 patients who underwent ileocolonic anastomosis following resection of the right colon for cancer by a single surgeon, from January 2009 through June 2012. Patient characteristics, operative results, and postoperative complications were analyzed.

Results

A total of 164 patients received ESA and 215 patients received FEEA. The FEEA group had a lower incidence of anastomotic error (0.9% versus 4.3%; P = 0.04) and a shorter operating time (140.4 ± 14.9 min versus 150.5 ± 20.1 min; P = 0.001). The length of hospital stay (10.9 ± 3.5 days versus 11.3 ± 4.0 days; P = 0.36) and anastomotic leakage (1.8% versus 0.5%; P = 0.20) were similar in both groups. No relevant differences between FEEA and ESA were observed for blood loss, retrieved lymph nodes, first flatus and postoperative complications.

Conclusion

An FEEA after right hemicolectomy for colon cancer is a safe and reliable anastomotic technique, resulting in a favorable outcome in selected patients with the right colon cancer.

【 授权许可】

   
2014 Liu et al.; licensee BioMed Central Ltd.

【 图 表 】

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