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

World Journal of Surgical Oncology

Research

Yinggang Chen¹  Zheng Liu¹  Dazhuang Miao¹  Shan Muhammad¹  Guiyu Wang¹  Xishan Wang²  Ming Yang³ 

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

关键词: anastomosis;    colon cancer;    right hemicolectomy;   

DOI  :  10.1186/1477-7819-12-306

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

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsWe 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.ResultsA 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.ConclusionAn 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】

Unknown   
© Liu et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.