Comparing the short-term results of extracorporeal and intracorporeal anastomosis in laparoscopic right hemicolectomy performed because of malignant tumour

Abstract

Introduction:Laparoscopy became evident for right-sided colon surgery too. Today the laparoscopic-assisted right-hemicolectomy is the gold standard with extracorporeal anastomosis. Morbidity according to randomized trials is still approximately 30%. The development of the surgical technique resulted in the creation of intracorporeal anastomosis. Our aim was to compare the short-term results of the two methods.Aim:To analyse the short-term results of right-sided hemicolectomy that were performed due to malignant tumours with the comparison of the two methods.Results:A cohort of 184 right-sided hemicolectomy were performed from 01.01.2018 to 31.12.2019 from which 122 were operated on because of a malignant disease. 51 open and 71 laparoscopic operations were performed. The average age of 37 men and 34 women were 70.59 and 72.14 years, respectively. 50 patients underwent extracorporeal (EA) anastomosis and 21 intracorporeal (IA) anastomosis. Within 30 days the number of complications were 18 in the EA group and 3 in the IA group (p= 0.067). 3 from the EA group and 1 from IA group died within 30 days (p= 0.66). The average length of stay were 9.48 days in the EA group and 6.52 days in the IA group together with the complicated cases (p= 0.001) while 6.35 days and 5.55 days without the complicated cases (p= 0.09). The average duration of operation was 147 minutes in the EA and 146.47 minutes in the IA group (p= 0.11).Conclusion:We found concordance with the literature that there are fewer complications in case of IA which might be related to shorter length of stay. There is no significant difference between the surgical times. Bearing these facts in mind, IA might be suggested for right- sided laparoscopic hemicolectomy.