[腹腔镜右侧半结肠切除术中的体内吻合术]

[Intracorporeal anastomosis in laparoscopic right-sided hemicolectomy].

作者信息

Medvednikov A A, Radostev S I, Litvintsev A A, Shelekhov A V, Sandakov Ya P, Zhuravlev I S, Vasilieva A R

机构信息

Regional Cancer Center, Irkutsk, Russia.

Irkutsk State Medical University, Irkutsk, Russia.

出版信息

Khirurgiia (Mosk). 2022(3):44-49. doi: 10.17116/hirurgia202203144.

DOI:10.17116/hirurgia202203144

PMID:35289548

Abstract

OBJECTIVE

To compare short-term results of intracorporeal (IA) and extracorporeal anastomosis (EA) in laparoscopic right-sided hemicolectomy.

MATERIAL AND METHODS

A retrospective and prospective analysis included 105 patients who underwent laparoscopic right-sided hemicolectomy with intracorporeal and extracorporeal anastomosis between 2016 and February 2021.

RESULTS

We analyzed 105 patients including 64 women and 41 men. Mean age of patients was 62.8±1.5 years in the EA group and 64.7±3.9 years in the IA group. Mean BMI was 24.8±0.5 kg/m in the EA group (range 19 - 34.5) and 24.3±1.0 kg/m in the IA group (range 21 - 30.4). Intracorporeal anastomosis was performed in 33 patients, extracorporeal anastomosis - in 72 ones. Surgery time was 180.0±7.3 min in the EA group and 214.2±17.7 min in the IA group. There were 8 complications in the EA group (=0.046). No mortality was observed. Redo surgery rate was 4.16% in the EA group, while there were no redo procedures in the IA group. Postoperative hospital-stay was 12.2±0.5 days in the EA group and 8.8±1.0 days in the IA group.

CONSLUSION

Intracorporeal anastomosis is a safe approach for laparoscopic right-sided hemicolectomy.

摘要

目的

比较腹腔镜右半结肠切除术中体内吻合（IA）与体外吻合（EA）的短期结果。

材料与方法

一项回顾性和前瞻性分析纳入了2016年至2021年2月期间接受腹腔镜右半结肠切除术并进行体内和体外吻合的105例患者。

结果

我们分析了105例患者，其中女性64例，男性41例。EA组患者的平均年龄为62.8±1.5岁，IA组为64.7±3.9岁。EA组的平均体重指数为24.8±0.5kg/m²（范围19 - 34.5），IA组为24.3±1.0kg/m²（范围21 - 30.4）。33例患者进行了体内吻合，72例进行了体外吻合。EA组的手术时间为180.0±7.3分钟，IA组为214.2±17.7分钟。EA组有8例并发症（=0.046）。未观察到死亡病例。EA组的再次手术率为4.16%，而IA组没有再次手术病例。EA组的术后住院时间为12.2±0.5天，IA组为8.8±1.0天。