Laparoscopic Right Colectomy with Intracorporeal Anastomosis Is Associated with Lower Rate of Incisional Hernia Compared to Extracorporeal Anastomosis.

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Israel Medical Association Journal Pub Date : 2025-09-01

Yehuda Hershkovitz, Chen Monfred, Igor Jeroukhimov, Amir Ben Yehuda

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引用次数: 0

Abstract

Background: Laparoscopic right hemicolectomy is considered the gold standard surgical treatment for patients with right colon malignancies. The restoration of bowel continuity can be performed by intracorporal (ICA) or extracorporal (ECA) techniques.

Objectives: To evaluate a single-center experience in laparoscopic right colectomy, comparing patients with ICA and ECA.

Methods: This is a case-control retrospective study included all patients who underwent laparoscopic right colectomy between the years 2016-2022 at our medical center. Patients were divided according to the operative technique. The study database included demographics as well as intraoperative and postoperative parameters.

Results: Overall, 125 patients were included in the study, which included 98 patients (78.4%) from the ICA group included and 27 patients in the ECA group. Both groups were comparable in demographics and co-morbidities. No significant differences were observed between the groups in intraoperative complications, length of surgery, return to the oral diet, and length of hospital stay. The incidence of postoperative ventral hernia was significantly higher in patients from the ECA group (18.5% vs. 3.1%, P = 0.012).

Conclusions: Laparoscopic right colectomy with ICA is associated with a lower rate of postoperative ventral hernias.

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与体外吻合相比，腹腔镜右结肠切除术与体内吻合的切口疝发生率较低。

背景：腹腔镜右半结肠切除术被认为是右结肠恶性肿瘤患者的金标准手术治疗方法。肠连续性的恢复可以通过体内（ICA）或体外（ECA）技术进行。目的：评价单中心腹腔镜右结肠切除术的经验，比较ICA和ECA患者。方法：这是一项病例对照回顾性研究，纳入了2016-2022年间在我院行腹腔镜右结肠切除术的所有患者。根据手术技术对患者进行分组。研究数据库包括人口统计学以及术中和术后参数。结果：共纳入125例患者，其中ICA组98例（78.4%），ECA组27例。两组在人口统计学和合并症方面具有可比性。两组在术中并发症、手术时间、恢复口服饮食和住院时间方面无显著差异。ECA组患者术后腹疝发生率明显高于对照组（18.5% vs. 3.1%, P = 0.012）。结论：腹腔镜右结肠切除术与ICA术后腹疝发生率较低相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Israel Medical Association Journal 医学-医学：内科

CiteScore

2.20

自引率

12.50%

发文量

审稿时长

3-8 weeks

期刊介绍： The Israel Medical Association Journal (IMAJ), representing medical sciences and medicine in Israel, is published in English by the Israel Medical Association. The Israel Medical Association Journal (IMAJ) was initiated in 1999.