Cargando…
Assessment of Colorectal Anastomosis with Intraoperative Colonoscopy: Its Role in Reducing Anastomotic Complications
The use of intraoperative colonoscopy (IOC) to evaluate the integrity of newly created anastomosis has been advocated by some surgeons. However, whether direct visualization of fresh anastomosis can help reduce anastomotic problems is still unclear. This study investigates the impact of immediate en...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10135846/ https://www.ncbi.nlm.nih.gov/pubmed/37189780 http://dx.doi.org/10.3390/biomedicines11041162 |
_version_ | 1785032078094499840 |
---|---|
author | Yoo, Ri-Na Mun, Ji-Yeon Cho, Hyeon-Min Kye, Bong-Hyeon Kim, Hyung-Jin |
author_facet | Yoo, Ri-Na Mun, Ji-Yeon Cho, Hyeon-Min Kye, Bong-Hyeon Kim, Hyung-Jin |
author_sort | Yoo, Ri-Na |
collection | PubMed |
description | The use of intraoperative colonoscopy (IOC) to evaluate the integrity of newly created anastomosis has been advocated by some surgeons. However, whether direct visualization of fresh anastomosis can help reduce anastomotic problems is still unclear. This study investigates the impact of immediate endoscopic assessment of colorectal anastomosis on anastomotic problems. This is a retrospective study conducted at a single center. Among six hundred forty-nine patients who underwent stapled anastomosis for left-sided colorectal cancer, the anastomotic complications were compared between patients who underwent IOC and those who did not. Additionally, patients with subsequent intervention after the IOC were compared to those without the intervention. Twenty-seven patients (5.0%) developed anastomotic leakage, and six (1.1%) experienced anastomotic bleeding postoperatively. Of the patients with IOC, 70 patients received reinforcement sutures to secure anastomotic stability. Of 70 patients, 39 patients showed abnormal findings in IOC. Thirty-seven patients (94.9%) who underwent reinforcement sutures did not develop postoperative anastomotic problems. This study demonstrates that IOC assessment with reinforcement sutures does not imminently reduce the rate of anastomotic complications. However, its use may play a role in detecting early technical failure and preventing postoperative anastomotic complications. |
format | Online Article Text |
id | pubmed-10135846 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-101358462023-04-28 Assessment of Colorectal Anastomosis with Intraoperative Colonoscopy: Its Role in Reducing Anastomotic Complications Yoo, Ri-Na Mun, Ji-Yeon Cho, Hyeon-Min Kye, Bong-Hyeon Kim, Hyung-Jin Biomedicines Article The use of intraoperative colonoscopy (IOC) to evaluate the integrity of newly created anastomosis has been advocated by some surgeons. However, whether direct visualization of fresh anastomosis can help reduce anastomotic problems is still unclear. This study investigates the impact of immediate endoscopic assessment of colorectal anastomosis on anastomotic problems. This is a retrospective study conducted at a single center. Among six hundred forty-nine patients who underwent stapled anastomosis for left-sided colorectal cancer, the anastomotic complications were compared between patients who underwent IOC and those who did not. Additionally, patients with subsequent intervention after the IOC were compared to those without the intervention. Twenty-seven patients (5.0%) developed anastomotic leakage, and six (1.1%) experienced anastomotic bleeding postoperatively. Of the patients with IOC, 70 patients received reinforcement sutures to secure anastomotic stability. Of 70 patients, 39 patients showed abnormal findings in IOC. Thirty-seven patients (94.9%) who underwent reinforcement sutures did not develop postoperative anastomotic problems. This study demonstrates that IOC assessment with reinforcement sutures does not imminently reduce the rate of anastomotic complications. However, its use may play a role in detecting early technical failure and preventing postoperative anastomotic complications. MDPI 2023-04-12 /pmc/articles/PMC10135846/ /pubmed/37189780 http://dx.doi.org/10.3390/biomedicines11041162 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Yoo, Ri-Na Mun, Ji-Yeon Cho, Hyeon-Min Kye, Bong-Hyeon Kim, Hyung-Jin Assessment of Colorectal Anastomosis with Intraoperative Colonoscopy: Its Role in Reducing Anastomotic Complications |
title | Assessment of Colorectal Anastomosis with Intraoperative Colonoscopy: Its Role in Reducing Anastomotic Complications |
title_full | Assessment of Colorectal Anastomosis with Intraoperative Colonoscopy: Its Role in Reducing Anastomotic Complications |
title_fullStr | Assessment of Colorectal Anastomosis with Intraoperative Colonoscopy: Its Role in Reducing Anastomotic Complications |
title_full_unstemmed | Assessment of Colorectal Anastomosis with Intraoperative Colonoscopy: Its Role in Reducing Anastomotic Complications |
title_short | Assessment of Colorectal Anastomosis with Intraoperative Colonoscopy: Its Role in Reducing Anastomotic Complications |
title_sort | assessment of colorectal anastomosis with intraoperative colonoscopy: its role in reducing anastomotic complications |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10135846/ https://www.ncbi.nlm.nih.gov/pubmed/37189780 http://dx.doi.org/10.3390/biomedicines11041162 |
work_keys_str_mv | AT yoorina assessmentofcolorectalanastomosiswithintraoperativecolonoscopyitsroleinreducinganastomoticcomplications AT munjiyeon assessmentofcolorectalanastomosiswithintraoperativecolonoscopyitsroleinreducinganastomoticcomplications AT chohyeonmin assessmentofcolorectalanastomosiswithintraoperativecolonoscopyitsroleinreducinganastomoticcomplications AT kyebonghyeon assessmentofcolorectalanastomosiswithintraoperativecolonoscopyitsroleinreducinganastomoticcomplications AT kimhyungjin assessmentofcolorectalanastomosiswithintraoperativecolonoscopyitsroleinreducinganastomoticcomplications |