Outcomes of Intra- versus Extra-Corporeal Ileocolic Anastomosis after Minimally Invasive Right Colectomy for Cancer: An Observational Study
Intracorporeal anastomoses (IA) are increasingly being used in colorectal surgery. Some data suggest that these might confer benefits compared with extracorporeal anastomoses (EA). The aim of this study is to compare the short-term complications associated with IA versus EA for minimally invasive ri...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/2/307 |
| _version_ | 1797411033775603712 |
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| author | Francesc Vallribera Miquel Kraft Meritxell Pera Laura Vidal Eloy Espín-Basany |
| author_facet | Francesc Vallribera Miquel Kraft Meritxell Pera Laura Vidal Eloy Espín-Basany |
| author_sort | Francesc Vallribera |
| collection | DOAJ |
| description | Intracorporeal anastomoses (IA) are increasingly being used in colorectal surgery. Some data suggest that these might confer benefits compared with extracorporeal anastomoses (EA). The aim of this study is to compare the short-term complications associated with IA versus EA for minimally invasive right colectomy. This is a single-centre, retrospective study on a prospective database. Patients who underwent minimally invasive right colectomy for cancer between January 2017 and December 2019 were assessed for inclusion. The primary outcome was global 30-day morbidity. Overall, 189 patients were included, of whom 102 had IA. Global morbidity and medical complications were higher in patients with EA (23.5% vs. 40.2%, <i>p</i> = 0.014; 5.9% vs. 14.9%, <i>p</i> = 0.039, respectively). None of the patients with IA had non-infectious surgical wound complications, compared to 4.6% in the EA group (<i>p</i> = 0.029). No differences were found in anastomotic leakage (9.8% vs. 10.3%, <i>p</i> = 0.55). At multivariable analysis, EA was an independent risk factor for both surgical (OR = 3.71 95% CI: 1.06–12.91, <i>p</i> = 0.04) and overall complications (OR = 3.58 95% CI: 1.06–12.12, <i>p</i> = 0.04). IA lowers the risk for global, medical, and surgical complications with minimum risk for wound complications, without increasing the risk of AL. |
| first_indexed | 2024-03-09T04:39:08Z |
| format | Article |
| id | doaj.art-8376ab64c9e6434985f175bb4d4b4dc6 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T04:39:08Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-8376ab64c9e6434985f175bb4d4b4dc62023-12-03T13:23:52ZengMDPI AGJournal of Clinical Medicine2077-03832021-01-0110230710.3390/jcm10020307Outcomes of Intra- versus Extra-Corporeal Ileocolic Anastomosis after Minimally Invasive Right Colectomy for Cancer: An Observational StudyFrancesc Vallribera0Miquel Kraft1Meritxell Pera2Laura Vidal3Eloy Espín-Basany4Colorectal Surgery, Vall d’Hebron University Hospital, 08035 Barcelona, SpainColorectal Surgery, Vall d’Hebron University Hospital, 08035 Barcelona, SpainColorectal Surgery, Vall d’Hebron University Hospital, 08035 Barcelona, SpainColorectal Surgery, Vall d’Hebron University Hospital, 08035 Barcelona, SpainColorectal Surgery, Vall d’Hebron University Hospital, 08035 Barcelona, SpainIntracorporeal anastomoses (IA) are increasingly being used in colorectal surgery. Some data suggest that these might confer benefits compared with extracorporeal anastomoses (EA). The aim of this study is to compare the short-term complications associated with IA versus EA for minimally invasive right colectomy. This is a single-centre, retrospective study on a prospective database. Patients who underwent minimally invasive right colectomy for cancer between January 2017 and December 2019 were assessed for inclusion. The primary outcome was global 30-day morbidity. Overall, 189 patients were included, of whom 102 had IA. Global morbidity and medical complications were higher in patients with EA (23.5% vs. 40.2%, <i>p</i> = 0.014; 5.9% vs. 14.9%, <i>p</i> = 0.039, respectively). None of the patients with IA had non-infectious surgical wound complications, compared to 4.6% in the EA group (<i>p</i> = 0.029). No differences were found in anastomotic leakage (9.8% vs. 10.3%, <i>p</i> = 0.55). At multivariable analysis, EA was an independent risk factor for both surgical (OR = 3.71 95% CI: 1.06–12.91, <i>p</i> = 0.04) and overall complications (OR = 3.58 95% CI: 1.06–12.12, <i>p</i> = 0.04). IA lowers the risk for global, medical, and surgical complications with minimum risk for wound complications, without increasing the risk of AL.https://www.mdpi.com/2077-0383/10/2/307colorectal cancerminimally invasive right colectomyintracorporeal anastomosisextracorporeal anastomosis |
| spellingShingle | Francesc Vallribera Miquel Kraft Meritxell Pera Laura Vidal Eloy Espín-Basany Outcomes of Intra- versus Extra-Corporeal Ileocolic Anastomosis after Minimally Invasive Right Colectomy for Cancer: An Observational Study Journal of Clinical Medicine colorectal cancer minimally invasive right colectomy intracorporeal anastomosis extracorporeal anastomosis |
| title | Outcomes of Intra- versus Extra-Corporeal Ileocolic Anastomosis after Minimally Invasive Right Colectomy for Cancer: An Observational Study |
| title_full | Outcomes of Intra- versus Extra-Corporeal Ileocolic Anastomosis after Minimally Invasive Right Colectomy for Cancer: An Observational Study |
| title_fullStr | Outcomes of Intra- versus Extra-Corporeal Ileocolic Anastomosis after Minimally Invasive Right Colectomy for Cancer: An Observational Study |
| title_full_unstemmed | Outcomes of Intra- versus Extra-Corporeal Ileocolic Anastomosis after Minimally Invasive Right Colectomy for Cancer: An Observational Study |
| title_short | Outcomes of Intra- versus Extra-Corporeal Ileocolic Anastomosis after Minimally Invasive Right Colectomy for Cancer: An Observational Study |
| title_sort | outcomes of intra versus extra corporeal ileocolic anastomosis after minimally invasive right colectomy for cancer an observational study |
| topic | colorectal cancer minimally invasive right colectomy intracorporeal anastomosis extracorporeal anastomosis |
| url | https://www.mdpi.com/2077-0383/10/2/307 |
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