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Ileocolonic anastomosis–comparison of different surgical techniques: A single-center study

Right hemicolectomy (RH) is a common procedure for both benign and malignant colic disease. Different anastomotic types are performed during this procedure. To assess the association between anastomotic type and postoperative complications (PC) in patients undergoing RH. Retrospective analysis of me...

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Autores principales: Machowicz, Joanna, Wołkowski, Maciej, Jabłońska, Beata, Mrowiec, Sławomir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794342/
https://www.ncbi.nlm.nih.gov/pubmed/36595875
http://dx.doi.org/10.1097/MD.0000000000031582
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author Machowicz, Joanna
Wołkowski, Maciej
Jabłońska, Beata
Mrowiec, Sławomir
author_facet Machowicz, Joanna
Wołkowski, Maciej
Jabłońska, Beata
Mrowiec, Sławomir
author_sort Machowicz, Joanna
collection PubMed
description Right hemicolectomy (RH) is a common procedure for both benign and malignant colic disease. Different anastomotic types are performed during this procedure. To assess the association between anastomotic type and postoperative complications (PC) in patients undergoing RH. Retrospective analysis of medical records of 72 patients (39 female and 33 male), aged 24 to 93, undergoing open RH in the Department of Gastrointestinal Surgery. Data regarding anastomotic type [end-to-end anastomosis, side-to-side (SSA), end-to-side anastomosis, and side-to-end anastomosis (SEA)], and different clinical factors were collected. There were 21 (29%) end-to-end anastomosis, 25 (35%) SSA, 15 (21%) end-to-side anastomosis, and 11 (15%) SEA in the analyzed group. Adenocarcinoma G2 was the most frequent indication for RH - 30 (42%). Total duration of hospitalization (in days) was the longest (14, 26) after SEA and the shortest (12, 68) after SSA. PC were noted in 17(24%) patients. Wound infection was the most common complication noted in 15(21%) patients. The overall anastomotic leak rate was 7% (5/72). PC were the most frequent after SEA noted in 64% (7/11) including abdominal bleeding and bowel perforation. The overall reoperations rate was 6% (4/72). The overall mortality rate was 4% (3/72). SEA was associated with the highest incidence of postoperative complication however based on this and other studies there are no satisfying conclusions regarding the best choice of anastomosis.
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spelling pubmed-97943422022-12-29 Ileocolonic anastomosis–comparison of different surgical techniques: A single-center study Machowicz, Joanna Wołkowski, Maciej Jabłońska, Beata Mrowiec, Sławomir Medicine (Baltimore) 7100 Right hemicolectomy (RH) is a common procedure for both benign and malignant colic disease. Different anastomotic types are performed during this procedure. To assess the association between anastomotic type and postoperative complications (PC) in patients undergoing RH. Retrospective analysis of medical records of 72 patients (39 female and 33 male), aged 24 to 93, undergoing open RH in the Department of Gastrointestinal Surgery. Data regarding anastomotic type [end-to-end anastomosis, side-to-side (SSA), end-to-side anastomosis, and side-to-end anastomosis (SEA)], and different clinical factors were collected. There were 21 (29%) end-to-end anastomosis, 25 (35%) SSA, 15 (21%) end-to-side anastomosis, and 11 (15%) SEA in the analyzed group. Adenocarcinoma G2 was the most frequent indication for RH - 30 (42%). Total duration of hospitalization (in days) was the longest (14, 26) after SEA and the shortest (12, 68) after SSA. PC were noted in 17(24%) patients. Wound infection was the most common complication noted in 15(21%) patients. The overall anastomotic leak rate was 7% (5/72). PC were the most frequent after SEA noted in 64% (7/11) including abdominal bleeding and bowel perforation. The overall reoperations rate was 6% (4/72). The overall mortality rate was 4% (3/72). SEA was associated with the highest incidence of postoperative complication however based on this and other studies there are no satisfying conclusions regarding the best choice of anastomosis. Lippincott Williams & Wilkins 2022-12-23 /pmc/articles/PMC9794342/ /pubmed/36595875 http://dx.doi.org/10.1097/MD.0000000000031582 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 7100
Machowicz, Joanna
Wołkowski, Maciej
Jabłońska, Beata
Mrowiec, Sławomir
Ileocolonic anastomosis–comparison of different surgical techniques: A single-center study
title Ileocolonic anastomosis–comparison of different surgical techniques: A single-center study
title_full Ileocolonic anastomosis–comparison of different surgical techniques: A single-center study
title_fullStr Ileocolonic anastomosis–comparison of different surgical techniques: A single-center study
title_full_unstemmed Ileocolonic anastomosis–comparison of different surgical techniques: A single-center study
title_short Ileocolonic anastomosis–comparison of different surgical techniques: A single-center study
title_sort ileocolonic anastomosis–comparison of different surgical techniques: a single-center study
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794342/
https://www.ncbi.nlm.nih.gov/pubmed/36595875
http://dx.doi.org/10.1097/MD.0000000000031582
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