Anastomosis technique and leakage rates in minimally invasive surgery for right-sided colon cancer. A retrospective national cohort study: A retrospective national cohort study
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| Názov: | Anastomosis technique and leakage rates in minimally invasive surgery for right-sided colon cancer. A retrospective national cohort study: A retrospective national cohort study |
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| Autori: | Helene Juul Würtz, Lars Bundgaard, Hans B. Rahr, Erik Frostberg |
| Zdroj: | Würtz, H J, Bundgaard, L, Rahr, H B & Frostberg, E 2022, ' Anastomosis technique and leakage rates in minimally invasive surgery for right-sided colon cancer : A retrospective national cohort study ', International Journal of Colorectal Disease, vol. 37, pp. 701-708 . https://doi.org/10.1007/s00384-022-04107-9 |
| Informácie o vydavateľovi: | Springer Science and Business Media LLC, 2022. |
| Rok vydania: | 2022 |
| Predmety: | Extracorporeal, Adolescent, Anastomosis, Colon, Anastomotic Leak, Colon/surgery, Cohort Studies, 03 medical and health sciences, Laparoscopic, 0302 clinical medicine, Surgical Stapling, Minimally Invasive Surgical Procedures/adverse effects, Humans, Minimally Invasive Surgical Procedures, Colectomy, Retrospective Studies, Anastomosis, Surgical, Anastomosis, Surgical/adverse effects, Surgical Stapling/adverse effects, Colon cancer, 3. Good health, Colonic Neoplasms, Ileocolic, Intracorporeal, Surgical/adverse effects, Colectomy/adverse effects, Anastomotic Leak/etiology, Colonic Neoplasms/etiology |
| Popis: | The aim of this study was to describe the different techniques currently used in Denmark to construct right-sided ileocolic anastomoses in minimally invasive surgery, and investigate, compare and analyse the anastomotic configurations and their anastomotic leakage (AL) rates.This was a retrospective register-based, study design using prospectively collected data from the Danish Colorectal Cancer Group (DCCG) database. All patients aged 18 years or older with a malignant colorectal tumour in Denmark in the period of 1 February 2015 until 31 December 2019, and who had an elective, curative, minimally invasive right hemicolectomy (MIRH) with ileocolic anastomosis, were included.Three thousand three hundred ninety-eight patients were included. The most commonly used anastomotic approach was the extracorporeal (EC) hand-sewn anastomosis (HA) with end-to-end configuration (59%) and the second most used was the EC stapled anastomosis (SA) side-to-side configuration (20%). The latter had a higher AL rate compared with the hand-sewn technique (3.8% vs. 1.3%), and had significantly higher odds ratio (OR) (OR: 2.85, 95% CI: 1.56-4.92, p |
| Druh dokumentu: | Article |
| Jazyk: | English |
| ISSN: | 1432-1262 0179-1958 |
| DOI: | 10.1007/s00384-022-04107-9 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/35150297 https://portal.findresearcher.sdu.dk/da/publications/1992e546-a536-4d43-b8d7-7c21e1497f3c https://portal.findresearcher.sdu.dk/da/publications/1992e546-a536-4d43-b8d7-7c21e1497f3c https://doi.org/10.1007/s00384-022-04107-9 |
| Rights: | Springer TDM |
| Prístupové číslo: | edsair.doi.dedup.....fe217b56495f94fa007306d83c91f62b |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | The aim of this study was to describe the different techniques currently used in Denmark to construct right-sided ileocolic anastomoses in minimally invasive surgery, and investigate, compare and analyse the anastomotic configurations and their anastomotic leakage (AL) rates.This was a retrospective register-based, study design using prospectively collected data from the Danish Colorectal Cancer Group (DCCG) database. All patients aged 18 years or older with a malignant colorectal tumour in Denmark in the period of 1 February 2015 until 31 December 2019, and who had an elective, curative, minimally invasive right hemicolectomy (MIRH) with ileocolic anastomosis, were included.Three thousand three hundred ninety-eight patients were included. The most commonly used anastomotic approach was the extracorporeal (EC) hand-sewn anastomosis (HA) with end-to-end configuration (59%) and the second most used was the EC stapled anastomosis (SA) side-to-side configuration (20%). The latter had a higher AL rate compared with the hand-sewn technique (3.8% vs. 1.3%), and had significantly higher odds ratio (OR) (OR: 2.85, 95% CI: 1.56-4.92, p |
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| ISSN: | 14321262 01791958 |
| DOI: | 10.1007/s00384-022-04107-9 |