Manual intracorporeal end-to-end invagination ileotransverse anastomosis, own experience
https://doi.org/10.33878/2073-7556-2021-20-1-23-31
Abstract
Aim: to evaluate the results of original manual intracorporeal end-to-end invagination ileotransverse anastomosis after laparoscopic right hemicolectomy.
Patients and methods: twenty-two patients with right colon cancer were included in the study: 17 females and 5 males aged 53.1±3.4 years. They underwent laparoscopic right hemicolectomy with the standard D2 lymphadenectomy and intracorporeal ileotransverse anastomosis by the original technique. Follow-up period after surgery was 3 months.
Results: no conversions to open surgery occurred. The operation time was 120.0±12.5 minutes, the median blood loss was 87.0±5.0 ml. Twenty (90.9%) patients are still under follow-up. The hospital stay was 11.4±2.6 days. There were no intraoperative complications. There were no cases of anastomotic leakage. No mortality occurred. At the time of the follow-up, all the patients are alive. Two (9.1%) patients have dropped out of control.
Conclusion: the experience of the first 22 laparoscopic right hemicolectomies with intracorporeal laparoscopic end-to-end invagination ileotransverse anastomosis makes it possible to recommend this reliably safe method.
About the Authors
M. P. Salamachin
Budgetary health care institution of Omsk region “Omsk Clinical Oncological Dispensary”
Russian Federation
Russian Federation
Maxim P. Salamachin
Zavertyaeva str., 9/1, Omsk, 644013
T. S. Dergacheva
Budgetary health care institution of Omsk region “Omsk Clinical Oncological Dispensary”
Russian Federation
Russian Federation
Tatiana S. Dergacheva
Zavertyaeva str., 9/1, Omsk, 644013
O. V. Leonov
Budgetary health care institution of Omsk region “Omsk Clinical Oncological Dispensary”;
Federal State Budgetary Educational Institution of Higher Education “Siberian State University of Physical Education and Sports”
Russian Federation
Russian Federation
Oleg V. Leonov
Zavertyaeva str., 9/1, Omsk, 644013,
Maslennikova Str., 144, Omsk, 644009
D. V. Sidorov
Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Center of Radiology, Ministry of Health of Russia
Russian Federation
Russian Federation
Dmitry V. Sidorov
2nd Botkinskiy Proezd, 3, Moscow, 125284
A. O. Soloviev
Budgetary health care institution of Omsk region “Omsk Clinical Oncological Dispensary”
Russian Federation
Russian Federation
Andrey O. Soloviev
Zavertyaeva str., 9/1, Omsk, 644013
A. O. Leonova
Budgetary health care institution of Omsk region “Omsk Clinical Oncological Dispensary”
Russian Federation
Russian Federation
Anastasia O. Leonova
Zavertyaeva str., 9/1, Omsk, 644013
References
1. Fedorov V.E., Podelyakin K.A. Epidemiological aspects of colorectal cancer (review). Medical almanach. 2017; no. 4(49), pp. 145-148. (In Russ.). DOI: 10.21145/2499-9954-2017-4-145-148
2. Siegel RL, Miller KD, Jemal A. Cancer Statistics, 2019. Ca: А Cancer J Clin. 2019;69:7-34. DOI: 10.3322/caac.21551
3. Kaprin A.D., Starinsky V.V., Petrova G.V. Malignant tumors in Russia in 2017 (morbidity and mortality). M.: MNOI. 2018, 250 p. (In Russ.).
4. Shin JK, Kim HCh, Lee WY. et al. Laparoscopic modified mesocolic excision with central vascular ligation in right-sided colon cancer shows better short- and long-term outcomes compared with the open approach in propensity score analysis. Surg Endosc. 2018;32(6):2721-2731. DOI: 10.1007/s00464-017-5970-6
5. Siani, LM, Garulli G. Laparoscopic complete mesocolic excision with central vascular ligation in right colon cancer: A comprehensive review. World J Gastrointest Surg. 2016;27(8):106-114. DOI: 10.4240/wjgs.v8.i2.106
6. Wu Q, Jin C, Hu T, Wei M. Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a systematic review and meta-analysis. J Laparoendosc Adv Surg Techn. 2017;27(4):348- 357. DOI: 10.1089/lap.2016.0485
7. Khatkov I.E., Barsukov Y.A., Atroshchenko A.O. et al. History of laparoscopic surgery. Colorectal Oncology. 2012; no. 2, pp. 35-39. (In Russ.). DOI: 10.17650/2220-3478-2012-0-2-35-39
8. Topuzov R.E., Manikhas G.М., Topuzov E.G. et al. Predictive factors in the choice of surgical treatment for colorectal cancer with laparoscopic or “open” access. Oncology. 2017; no. 3, pp. 470-474. (In Russ.).
9. Tarta C, Bishawi, Bergamaschi R. Intracorporeal ileocolic anastomosis: a review. Tech Coloproctol. 2013;17(5):479-485. DOI: 10.1007/s10151-013-0998-7
10. Dousset B, de Mestier, Vons C. Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350(20):2050- 2059. DOI: 10.1016/s0021-7697(04)95606-2
11. Veldkamp R, Kuhry E, Hop WC. et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol. 2005;6(7):477-84. DOI: 10.1016/s1470-2045(05)70221-7
12. Guillou PJ, Quirke P, Thorpe H. et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365(9472):1718-1726. DOI: 10.1016/S0140-6736(05)66545-2
13. Cirocchi R, Trastulli S, Farinella E. et al. Intracorporeal versus extracorporeal anastomosis during laparoscopic right hemicolectomy – systematic review and metaanalysis. Surg Oncol. 2013;22(1):1- 13. DOI: 10.1016/j.suronc.2012.09.002
14. van Oostendorp S, Elfrink A, Borstlap W. et al. Intracorporeal versus extracorpo real anastomosis in right hemicolectomy: a systematic review and metaanalysis. Surg Endosc. 2017;31(1):64-77. DOI: 10.1007/s00464-016-4982-y
15. Marquezi F, Pinna F, Percalli L. et al. Fully laparoscopic right colectomy: theoretical and practical advantages compared with the laparo-assisted approach. J Laparoendosc Adv Surg Tech A. 2013;23:418-424. DOI: 10.1089/lap.2012.0420
16. Chernikovskiy I.L., Melnikov P.V., Savanovich N.V. et al. Intracorporeal anastomosis in laparoscopic right hemicolectomy: a review of evidence and a single-center experience. Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova. 2019; no. 8(2), pp. 65-69. (In Russ.). DOI: 10.17116/hirurgia201908265
17. Fabozzi M, Cirillo P, Corcione F. Surgical approach to right colon cancer: From open technique to robot. State of art. World J Gastrointest Surg. 2016;27(8):564-573. DOI: 10.4240/wjgs.v8.i8.564
18. Salamakhin M.P., Leonov O.V., Dergacheva T.S. et al. New way of laparascopic intracorporeal term-terminal invagination ileotransverse anastomosis. Innovative medicine of Kuban. 2020; no. 1, pp. 30-35. (In Russ.). DOI: 10.35401/2500-0268-2020-17-1-30-35
19. Gustafsson UO, Scott MJ, Schwenk W. et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. World J Surg. 2013;37(2):259-284. DOI: 10.1007/s00268-012-1772-0
20. Green BL, Marshall HC, Collinson F. et al. Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer. British Journal of Surgery. 2013;100(1):75-82. DOI: 10.1002/bjs.8945
21. Veldkamp R, Kuhry E, Hop WC. et al. Colon cancer Laparoscopic or Open Resection Study Group (COLOR). Laparoscopic surgery versus open surgery forcolon cancer: short-term outcomes of a randomised trial. Lancet Oncol. 2005;6(7):477-484. DOI: 10.1016/s1470-2045(05)70221-7
Supplementary files
Review
For citations:
Salamachin M.P., Dergacheva T.S., Leonov O.V., Sidorov D.V., Soloviev A.O., Leonova A.O. Manual intracorporeal end-to-end invagination ileotransverse anastomosis, own experience. Koloproktologia. 2021;20(1):23-31. (In Russ.) https://doi.org/10.33878/2073-7556-2021-20-1-23-31
Views:
875
Email this article 
