|Table of Contents|

Short term efficacy and complications analysis of laparoscopic Overlap anastomosis in radical resection of right colon cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2024 22
Page:
4329-4333
Research Field:
Publishing date:

Info

Title:
Short term efficacy and complications analysis of laparoscopic Overlap anastomosis in radical resection of right colon cancer
Author(s):
HU Baigeng; ZHANG Zhe; LIU Yue; SUN Liang
Department of Gastroenterology and Hernia,the First Affiliated Hospital of Kunming Medical University,Yunnan Kunming 650032,China.
Keywords:
right-sided colon cancer; intra-abdominal anastomosis; extra-abdominal anastomosis; Overlap anastomosis
PACS:
R735.3+5
DOI:
10.3969/j.issn.1672-4992.2024.22.018
Abstract:
Objective:To explore the clinical efficacy and value of intraperitoneal anastomosis in radical resection of right colon cancer by comparing the clinical data and short-term efficacy of peristaltic side-to-side anastomosis and extraperitoneal anastomosis under total laparoscopy.Methods:Clinical data of patients who underwent laparoscopic radical resection of right colon cancer in the Department of Gastrointestinal and Hernia of our hospital from January 2021 to December 2023 were retrospectively selected,and a total of 92 cases were included in the clinical study.According to different anastomosis methods and intraoperative space,patients with intraperitoneal Overlap were classified as ICA group.External abdominal end-to-side anastomosis was used as ECA group.Clinical data of the two groups were collected and analyzed,and the differences in safety and short-term clinical efficacy of total laparoscopic Overlap were discussed.Results:There was no significant difference in the general information of the included patients (P>0.05).In terms of surgical data,the operative time ［(185.83±27.55)min,P=0.026］ and anastomosis time ［(33.86±4.05)min,P＜0.001］ of ICA group were significantly longer than ECA group.Incision length ［(4.86±0.84)cm,P＜0.001］ ICA group was significantly shorter than ECA group.There was no significant difference in the number of intraoperative bleeding and lymph nodes between the two groups (P>0.05).In terms of postoperative rehabilitation,the first exhaust time ［(2.55±0.55)days,P=0.001］,the first inlet time ［(3.38±0.62)days,P＜0.001］,getting out of bed time ［(2.71±0.55)days,P=0.006］,postoperative hospital stay ［(7.67±1.26)days,P=0.019］ of ICA group were better than ECA group,and the postoperative drainage volume of ICA group ［(277.74±147.68)mL,P=0.017］ was significantly less than ECA group.On day 3 after surgery,pain VAS score in ICA group (3.19±0.77,P=0.04) was lower than ECA group.In terms of postoperative inflammatory indicators,there were no statistically significant differences in the levels of C-reactive protein and neutrophil to lymphocyte ratio (NLR) between the two groups (P>0.05).In terms of postoperative complications,there were no significant differences in the incidence of total complications,anastomotic leakage,abdominal infection,abdominal hemorrhage,anastomotic hemorrhage,incision infection,pulmonary infection,postoperative intestinal obstruction and postoperative gastroparesis between the two groups (P>0.05).Conclusion：Total laparoscopic Overlap is safe and feasible,and has the advantages of faster postoperative intestinal function recovery and less trauma.The surgical effect is comparable to that of traditional endoscopic-assisted surgery,and will not increase the incidence of short-term complications.

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