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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...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society of Endo-Laparoscopic & Robotic Surgery
2022
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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 |
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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 |