The safety of intracorporeal anastomoses after right colectomy during the learning curve

Objective: to asses safety of installation intracorporeal anastomosis (ICA) in routine practice at learning curve period.Materials and methods. The results of treatment of 102 patients during 2019 were retrospectively analyzed, of which 64 were operated by an expert and 38 passing the ICA learning c...

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Main Authors: P. V. Melnikov, I. I. Chernikovskiy, D. Yu. Kanner, N. V. Savanovich, A. V. Gavrilyukov, D. A. Chernikov, L. I. Markushin
Format: Article
Language:Russian
Published: “ABV-press” Publishing house”, LLC 2020-08-01
Series:Тазовая хирургия и онкология
Subjects:
Online Access:https://ok.abvpress.ru/jour/article/view/464
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author P. V. Melnikov
I. I. Chernikovskiy
D. Yu. Kanner
N. V. Savanovich
A. V. Gavrilyukov
D. A. Chernikov
L. I. Markushin
author_facet P. V. Melnikov
I. I. Chernikovskiy
D. Yu. Kanner
N. V. Savanovich
A. V. Gavrilyukov
D. A. Chernikov
L. I. Markushin
author_sort P. V. Melnikov
collection DOAJ
description Objective: to asses safety of installation intracorporeal anastomosis (ICA) in routine practice at learning curve period.Materials and methods. The results of treatment of 102 patients during 2019 were retrospectively analyzed, of which 64 were operated by an expert and 38 passing the ICA learning curve.Results. The operation time was shorter for the expert (145 minutes versus 210 minutes, p <0.05), there was no statistical difference in pathomorphological measurements, the number of lymph nodes removed was oncologically acceptable and did not differ significantly in the two groups. The total number of complications was 25.2 % for all patients, and Clavien–Dindo class IIIB complication rate was also the same (3.2 % vs 2.6 %, p >0.05).Conclusions. The introduction of ICA in right colectomy into routine practice at the stage of passing the learning curve is safe and applicable.
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spelling doaj.art-4c27a3f6ffdc4fc4a2794d7a9307d5422023-09-03T06:24:46Zrus“ABV-press” Publishing house”, LLCТазовая хирургия и онкология2686-95942020-08-01101374210.17650/2686-9594-2020-10-1-37-42333The safety of intracorporeal anastomoses after right colectomy during the learning curveP. V. Melnikov0I. I. Chernikovskiy1D. Yu. Kanner2N. V. Savanovich3A. V. Gavrilyukov4D. A. Chernikov5L. I. Markushin6Moscow City Oncology Hospital № 62Moscow City Oncology Hospital № 62Moscow City Oncology Hospital № 62Moscow City Oncology Hospital № 62Moscow City Oncology Hospital № 62Moscow City Oncology Hospital № 62Moscow City Oncology Hospital № 62Objective: to asses safety of installation intracorporeal anastomosis (ICA) in routine practice at learning curve period.Materials and methods. The results of treatment of 102 patients during 2019 were retrospectively analyzed, of which 64 were operated by an expert and 38 passing the ICA learning curve.Results. The operation time was shorter for the expert (145 minutes versus 210 minutes, p <0.05), there was no statistical difference in pathomorphological measurements, the number of lymph nodes removed was oncologically acceptable and did not differ significantly in the two groups. The total number of complications was 25.2 % for all patients, and Clavien–Dindo class IIIB complication rate was also the same (3.2 % vs 2.6 %, p >0.05).Conclusions. The introduction of ICA in right colectomy into routine practice at the stage of passing the learning curve is safe and applicable.https://ok.abvpress.ru/jour/article/view/464intracorporeal anastomosislaparoscopic right-sided hemicolectomylearning curve
spellingShingle P. V. Melnikov
I. I. Chernikovskiy
D. Yu. Kanner
N. V. Savanovich
A. V. Gavrilyukov
D. A. Chernikov
L. I. Markushin
The safety of intracorporeal anastomoses after right colectomy during the learning curve
Тазовая хирургия и онкология
intracorporeal anastomosis
laparoscopic right-sided hemicolectomy
learning curve
title The safety of intracorporeal anastomoses after right colectomy during the learning curve
title_full The safety of intracorporeal anastomoses after right colectomy during the learning curve
title_fullStr The safety of intracorporeal anastomoses after right colectomy during the learning curve
title_full_unstemmed The safety of intracorporeal anastomoses after right colectomy during the learning curve
title_short The safety of intracorporeal anastomoses after right colectomy during the learning curve
title_sort safety of intracorporeal anastomoses after right colectomy during the learning curve
topic intracorporeal anastomosis
laparoscopic right-sided hemicolectomy
learning curve
url https://ok.abvpress.ru/jour/article/view/464
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