ArticleLangenbeck's archives of surgery2025
Intracorporeal stapled versus extracorporeal hand-sewn anastomosis in minimal-invasive right hemicolectomy with complete mesocolic excision - a retrospective single center analysis.
Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Surgeons' practices and preferences for performing right hemicolectomy for colorectal cancer: results from the SuPrHem survey.Updates in surgery · 2026Article
- Robotic right colectomy with complete mesocolic excision, central vascular ligation and hand-sewn intracorporeal anastomosis: feasibility, safety, and learning curve analysis.Frontiers in surgery · 2025Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundMinimally invasive right hemicolectomy can be performed with either an extracorporeal or intracorporeal anastomosis, with the latter gaining increasing popularity. This study aimed to evaluate the impact of the anastomotic technique on postoperative outcomes and recovery.
methodsWe retrospectively reviewed 177 patients who underwent minimally invasive right hemicolectomy with complete mesocolic excision (CME) at our institution from 2016 to May 2024. Of these, 96 patients received an extracorporeal hand-sewn end-to-end anastomosis, while 81 patients underwent an intracorporeal stapled side-to-side isoperistaltic anastomosis. The impact of the anastomotic technique on postoperative outcomes and recovery was assessed using uni- and multivariate analyses.
resultsPatients with intracorporeal anastomoses experienced significantly fewer surgical site infections (0% vs. 3%, p = 0.032), less postoperative pain at rest and under stress on postoperative day (POD) 4 (p = 0.028 and p = 0.007, respectively), earlier first bowel movement (POD 2 vs. POD 3, p = 0.014) and shorter postoperative hospital stays (5 vs. 6 days, p = 0.049). There were no significant differences between the groups in overall morbidity, reoperations or anastomotic leakage rates. Multivariate analysis indicated that the intracorporeal anastomosis technique was significantly associated with enhanced postoperative recovery (defined as first stool by POD 2, full meal tolerance by POD 4 and discharge by POD 6; OR 0.5 [0.2-0.9], p = 0.036).
conclusionIntracorporeal stapled side-to-side anastomosis may enhance postoperative recovery after minimal-invasive right hemicolectomy with CME.
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