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Isoperistaltic vs antiperistaltic anastomosis after right hemicolectomy: A comprehensive review
To optimize the efficiency of ileocolic anastomosis following right hemicolectomy, several variations of the surgical technique have been tested. These include performing the anastomosis intra- or extracorporeally or performing a stapled or hand-sewn anastomosis. Among the least studied is the confi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037296/ https://www.ncbi.nlm.nih.gov/pubmed/36970003 http://dx.doi.org/10.12998/wjcc.v11.i8.1694 |
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author | Symeonidis, Dimitrios Karakantas, Kostas-Sotirios Kissa, Labrini Samara, Athina A Bompou, Effrosyni Tepetes, Konstantinos Tzovaras, Georgios |
author_facet | Symeonidis, Dimitrios Karakantas, Kostas-Sotirios Kissa, Labrini Samara, Athina A Bompou, Effrosyni Tepetes, Konstantinos Tzovaras, Georgios |
author_sort | Symeonidis, Dimitrios |
collection | PubMed |
description | To optimize the efficiency of ileocolic anastomosis following right hemicolectomy, several variations of the surgical technique have been tested. These include performing the anastomosis intra- or extracorporeally or performing a stapled or hand-sewn anastomosis. Among the least studied is the configuration of the two stumps (i.e., isoperistaltic or antiperistaltic) in the case of a side-to-side anastomosis. The purpose of the present study is to compare the isoperistaltic and antiperistaltic side-to-side anastomotic configuration after right hemicolectomy by reviewing the relevant literature. High-quality literature is scarce, with only three studies directly comparing the two alternatives, and no study has revealed any significant differences in the incidence of anastomosis-related complications such as leakage, stenosis, or bleeding. However, there may be a trend towards an earlier recovery of intestinal function following antiperistaltic anastomosis. Finally, existing data do not identify a certain anastomotic configuration (i.e., isoperistaltic or antiperistaltic) as superior over the other. Thus, the most appropriate approach is to master both anastomotic techniques and select between the two configurations based on each individual case scenario. |
format | Online Article Text |
id | pubmed-10037296 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-100372962023-03-25 Isoperistaltic vs antiperistaltic anastomosis after right hemicolectomy: A comprehensive review Symeonidis, Dimitrios Karakantas, Kostas-Sotirios Kissa, Labrini Samara, Athina A Bompou, Effrosyni Tepetes, Konstantinos Tzovaras, Georgios World J Clin Cases Minireviews To optimize the efficiency of ileocolic anastomosis following right hemicolectomy, several variations of the surgical technique have been tested. These include performing the anastomosis intra- or extracorporeally or performing a stapled or hand-sewn anastomosis. Among the least studied is the configuration of the two stumps (i.e., isoperistaltic or antiperistaltic) in the case of a side-to-side anastomosis. The purpose of the present study is to compare the isoperistaltic and antiperistaltic side-to-side anastomotic configuration after right hemicolectomy by reviewing the relevant literature. High-quality literature is scarce, with only three studies directly comparing the two alternatives, and no study has revealed any significant differences in the incidence of anastomosis-related complications such as leakage, stenosis, or bleeding. However, there may be a trend towards an earlier recovery of intestinal function following antiperistaltic anastomosis. Finally, existing data do not identify a certain anastomotic configuration (i.e., isoperistaltic or antiperistaltic) as superior over the other. Thus, the most appropriate approach is to master both anastomotic techniques and select between the two configurations based on each individual case scenario. Baishideng Publishing Group Inc 2023-03-16 2023-03-16 /pmc/articles/PMC10037296/ /pubmed/36970003 http://dx.doi.org/10.12998/wjcc.v11.i8.1694 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Minireviews Symeonidis, Dimitrios Karakantas, Kostas-Sotirios Kissa, Labrini Samara, Athina A Bompou, Effrosyni Tepetes, Konstantinos Tzovaras, Georgios Isoperistaltic vs antiperistaltic anastomosis after right hemicolectomy: A comprehensive review |
title | Isoperistaltic vs antiperistaltic anastomosis after right hemicolectomy: A comprehensive review |
title_full | Isoperistaltic vs antiperistaltic anastomosis after right hemicolectomy: A comprehensive review |
title_fullStr | Isoperistaltic vs antiperistaltic anastomosis after right hemicolectomy: A comprehensive review |
title_full_unstemmed | Isoperistaltic vs antiperistaltic anastomosis after right hemicolectomy: A comprehensive review |
title_short | Isoperistaltic vs antiperistaltic anastomosis after right hemicolectomy: A comprehensive review |
title_sort | isoperistaltic vs antiperistaltic anastomosis after right hemicolectomy: a comprehensive review |
topic | Minireviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037296/ https://www.ncbi.nlm.nih.gov/pubmed/36970003 http://dx.doi.org/10.12998/wjcc.v11.i8.1694 |
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