Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Purpose: The purpose of this study is to compare short-term outcomes and 1-year incisional hernia rates between intracorporeal anastomosis (IA) and extracorporeal anastomosis (EA) in laparoscopic right hemicolectomy for management of right-sided colonic cancer. The primary outcome was the complication rate assessed by the comprehensive complication index (CCI). Secondary outcomes included time to bowel movement, length of hospital stay, 30-day readmission rate, early warning scores, and 1-year incisional hernia rate.
Method: This was a single-center, prospective cohort study. Patients with right-sided colonic cancer eligible for laparoscopic surgery with primary anastomosis were consecutively included. Patients included in the first period underwent EA, while those in the second underwent IA. Clinical data were collected during the hospital admission up to 30 days postoperatively. Complications were evaluated by the CCI. A routine 1-year CT-scan was used to assess hernias.
Results: One hundred three patients (51 in the EA and 52 in the IA groups) were included. Demographics were similar between the two groups. No significant difference in the CCI-score was found (EA: 17.9 (23.9) vs. IA: 15.0 (17.4), p = 0.85). The mean length of hospital stay was significantly shorter in the IA group (EA 6.6 days, IA 3.9 days, p = 0.02). The groups had no significant differences regarding other outcomes, including hernia rates (p = 0.12).
Conclusion: Laparoscopic right hemicolectomy with IA significantly reduced the length of hospital stay without increasing complication rates compared to EA.
Trial Registration: The study is registered at ClinicalTrials.gov (NCT05039762).
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978703 | PMC |
| http://dx.doi.org/10.1007/s00384-025-04882-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Hand-Assisted Laparoscopic Colectomy for Complicated Colorectal Disease in Emergency Settings.
JSLS
September 2025
Department of Surgery, Samsung Kangbuk Hospital, Sungkyunkwan University of School of Medicine, Seoul, Republic of Korea. (Drs. Kang, Lee, Kim, Kim, and Jung).
Background And Objectives: The safety and effectiveness of laparoscopic approaches for emergency colorectal surgery are not yet fully established, though their use is increasing with studies reporting laparoscopic colectomy is safe and feasible for appropriately selected patients. Hand-assisted laparoscopy (HAL) involves inserting one hand into the abdomen through a small incision, offering advantages that may facilitate laparoscopic procedures in emergencies. This study reports our experience with emergency HAL colectomy.
View Article and Find Full Text PDFLaparoscopic Management of Grade C Anastomotic Leak following Left-Sided Colorectal Resection.
JSLS
September 2025
Colorectal and Minimally Invasive Surgery Specialists, Jackson Medical Group, Jackson S. Medical Center, Miami, Florida, USA. (Drs. Altamirano, Adogowa, and Lujan).
Background: Management of left-sided colorectal Grade C anastomotic leak (AL) has traditionally been managed via laparotomy. However, with the growing adoption of minimally invasive techniques, recent literature suggests that laparoscopic surgery provides a safe and viable alternative for managing Grade C leaks.
Methods: This study is a case series that consists of 7 adults that underwent laparoscopic reintervention of purulent or feculent peritonitis from left-sided colorectal AL during the period of 2016-2024 at our institution.
Evaluating variation in opioid prescribing for emergency general surgery patients.
Surgery
September 2025
Department of Surgery, University of Michigan Medical School, Ann Arbor, MI; Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI.
Background: Although procedure-specific guidelines have been established for postoperative opioid prescribing in the elective setting, it is unknown to what extent prescriptions in the emergency setting adhere to these standards. Variation in opioid prescribing for emergency general surgery patients may represent context-appropriate deviation or an opportunity for improved stewardship.
Methods: Leveraging data from a statewide Acute Care Surgery collaborative, we identified patients undergoing 4 common procedures in the emergency setting: laparoscopic appendectomy, laparoscopic cholecystectomy, emergency hernia repair, and open colectomy.
Robotic Right Colectomy is Associated with Reduced Conversion to Open Surgery in Obese Patients.
J Gastrointest Surg
September 2025
Department of Surgery, Massachusetts General Hospital, Boston, MA. Electronic address:
Background: Obesity is associated with increased risk of conversion to open surgery, which in turn is associated with worse postoperative outcomes. We hypothesize that, with its improved ergonomics and instrument dexterity, the robotic approach to right colectomy will be associated with a decreased risk of conversion to open compared to laparoscopic right colectomy.
Methods: Obese adults (BMI ≥30kg/m) undergoing elective laparoscopic (LRC) or robotic (RRC) right colectomy for colon adenocarcinoma (2015-2022) were identified from the American College of Surgeons National Surgical Quality Improvement Program and its colectomy-targeted participant use file.
Laparoscopic resection has become the standard surgical technique in treating colorectal cancer. This approach has many advantages over open surgery such as: faster recovery, lower postoperative pain with reduced postoperative pain scores and opioid requirements and shorter hospital-stay. Improving postoperative pain management by performing transversus abdominis plane block enhances some of the benefits of laparoscopic colorecat surgery.
View Article and Find Full Text PDF