Cargando…

Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery

Laparoscopic right colectomy is currently considered the standard treatment for right colon cancer. After excision of the right colon, minimally invasive options for ileocolonic anastomosis include extracorporeal anastomosis (EA) and intracorporeal anastomosis (IA). However, the choice of anastomoti...

Descripción completa

Detalles Bibliográficos
Autor principal: Baek, Seong Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Endo-Laparoscopic & Robotic Surgery 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9494010/
https://www.ncbi.nlm.nih.gov/pubmed/36177372
http://dx.doi.org/10.7602/jmis.2022.25.3.91
_version_ 1784793742595588096
author Baek, Seong Kyu
author_facet Baek, Seong Kyu
author_sort Baek, Seong Kyu
collection PubMed
description Laparoscopic right colectomy is currently considered the standard treatment for right colon cancer. After excision of the right colon, minimally invasive options for ileocolonic anastomosis include extracorporeal anastomosis (EA) and intracorporeal anastomosis (IA). However, the choice of anastomotic technique remains debated. As the entire IA is performed in the abdominal cavity, it is known for its advantages of a faster intestinal recovery and small incision. However, IA is time-consuming and technically difficult, limiting its widespread use. Recently, the robotic approach has increased the adoption of intracorporeal anastomotic techniques owing to the benefits of endowrist-articulated instruments and staplers. Except for a small incision and faster bowel recovery, the outcomes of the two anastomoses methods are inconsistent. To date, there has been no clear conclusion regarding whether IA or EA should be used to treat right colon cancer. This review aimed to investigate the current evidence relating to intraoperative outcomes and short-term postoperative results between both anastomotic approaches.
format Online
Article
Text
id pubmed-9494010
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher The Korean Society of Endo-Laparoscopic & Robotic Surgery
record_format MEDLINE/PubMed
spelling pubmed-94940102022-09-28 Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery Baek, Seong Kyu J Minim Invasive Surg Review Article Laparoscopic right colectomy is currently considered the standard treatment for right colon cancer. After excision of the right colon, minimally invasive options for ileocolonic anastomosis include extracorporeal anastomosis (EA) and intracorporeal anastomosis (IA). However, the choice of anastomotic technique remains debated. As the entire IA is performed in the abdominal cavity, it is known for its advantages of a faster intestinal recovery and small incision. However, IA is time-consuming and technically difficult, limiting its widespread use. Recently, the robotic approach has increased the adoption of intracorporeal anastomotic techniques owing to the benefits of endowrist-articulated instruments and staplers. Except for a small incision and faster bowel recovery, the outcomes of the two anastomoses methods are inconsistent. To date, there has been no clear conclusion regarding whether IA or EA should be used to treat right colon cancer. This review aimed to investigate the current evidence relating to intraoperative outcomes and short-term postoperative results between both anastomotic approaches. The Korean Society of Endo-Laparoscopic & Robotic Surgery 2022-09-15 2022-09-15 /pmc/articles/PMC9494010/ /pubmed/36177372 http://dx.doi.org/10.7602/jmis.2022.25.3.91 Text en Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Baek, Seong Kyu
Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery
title Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery
title_full Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery
title_fullStr Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery
title_full_unstemmed Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery
title_short Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery
title_sort extracorporeal versus intracorporeal anastomosis for right colon cancer surgery
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9494010/
https://www.ncbi.nlm.nih.gov/pubmed/36177372
http://dx.doi.org/10.7602/jmis.2022.25.3.91
work_keys_str_mv AT baekseongkyu extracorporealversusintracorporealanastomosisforrightcoloncancersurgery