A novel knotless hand-sewn end-to-end anastomosis using V-loc barbed suture vs. stapled anastomosis in laparoscopic left colonic surgery: A propensity scoring match analysis.
barbed suture
colon cancer
extracorporeal anastomosis
intracorporeal anastomosis
laparoscopic surgery
left colon anastomosis
left hemicolectomy
Journal
Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127
Informations de publication
Date de publication:
2022
2022
Historique:
received:
07
06
2022
accepted:
03
10
2022
entrez:
21
11
2022
pubmed:
22
11
2022
medline:
22
11
2022
Statut:
epublish
Résumé
Laparoscopic colectomy is widely practiced for colon cancer, but many variations exist for anastomosis after laparoscopic colon cancer radical resection. We retrospectively analyzed 226 patients who underwent laparoscopic-assisted radical resection for left colon cancer with knotless hand-sewn end-to-end anastomosis (KHEA) technique with barbed V-loc™ suture material and compared perioperative outcomes, safety, and efficacy to those undergoing stapled anastomosis from 2010 to 2021. After the 1:2 propensity score matching, 123 participants with similar preoperative characteristics (age, body mass index, TNM stage, and tumor location) were enrolled in the study: 41 in the KHEA and 82 in the stapler group. Statistically significant differences were found in time to accomplish the anastomosis (mean 7.9 vs. 11.9 min, KHEA is feasible and safe for anastomosis after laparoscopic left hemicolectomy. The KHEA technique could reduce operation time and hospital costs with complication rates comparable to stapling.
Sections du résumé
Background
UNASSIGNED
Laparoscopic colectomy is widely practiced for colon cancer, but many variations exist for anastomosis after laparoscopic colon cancer radical resection.
Method
UNASSIGNED
We retrospectively analyzed 226 patients who underwent laparoscopic-assisted radical resection for left colon cancer with knotless hand-sewn end-to-end anastomosis (KHEA) technique with barbed V-loc™ suture material and compared perioperative outcomes, safety, and efficacy to those undergoing stapled anastomosis from 2010 to 2021.
Results
UNASSIGNED
After the 1:2 propensity score matching, 123 participants with similar preoperative characteristics (age, body mass index, TNM stage, and tumor location) were enrolled in the study: 41 in the KHEA and 82 in the stapler group. Statistically significant differences were found in time to accomplish the anastomosis (mean 7.9 vs. 11.9 min,
Conclusion
UNASSIGNED
KHEA is feasible and safe for anastomosis after laparoscopic left hemicolectomy. The KHEA technique could reduce operation time and hospital costs with complication rates comparable to stapling.
Identifiants
pubmed: 36406345
doi: 10.3389/fsurg.2022.963597
pmc: PMC9666673
doi:
Types de publication
Journal Article
Langues
eng
Pagination
963597Informations de copyright
© 2022 Xu, Zhao, He, Yang, Ma, Dong, Zang, Fingerhut, Zhang and Zheng.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Eur J Obstet Gynecol Reprod Biol. 2016 Dec;207:18-22
pubmed: 27816737
Am J Surg. 2013 Dec;206(6):950-5; discussion 955-6
pubmed: 24070663
Ann Surg. 2019 Nov;270(5):762-767
pubmed: 31592811
Br J Surg. 2020 Apr;107(5):614
pubmed: 32187679
Front Physiol. 2021 Jun 22;12:641290
pubmed: 34239446
Surg Endosc. 2013 Oct;27(10):3846-51
pubmed: 23722892
Int J Colorectal Dis. 2020 Sep;35(9):1673-1680
pubmed: 32691134
Ann Surg. 2022 Nov 1;276(5):e294-e301
pubmed: 35129520
Tech Coloproctol. 2014 Jan;18(1):5-12
pubmed: 23686680
J Endourol. 2010 Oct;24(10):1645-50
pubmed: 20818988
Colorectal Dis. 2013;15(10):1301-8
pubmed: 23710632
Surgery. 2021 Jul;170(1):345-346
pubmed: 33781586
Ann Oncol. 2005;16 Suppl 2:ii88-92
pubmed: 15958483
Can Urol Assoc J. 2013 Nov-Dec;7(11-12):E663-6
pubmed: 24282453
Surg Endosc. 2017 Jan;31(1):64-77
pubmed: 27287905
Ann Surg. 2004 Aug;240(2):205-13
pubmed: 15273542
JAMA Surg. 2013 Feb;148(2):190-201
pubmed: 23426599
Cochrane Database Syst Rev. 2001;(3):CD003144
pubmed: 11687041
Surg Endosc. 2021 Nov;35(11):6173-6178
pubmed: 33104916
Surg Endosc. 2017 Dec;31(12):5083-5093
pubmed: 28444496
Dig Surg. 2008;25(2):148-57
pubmed: 18446037
Surg Endosc. 2013 Oct;27(10):3830-4
pubmed: 23644839
Surgery. 2010 Mar;147(3):339-51
pubmed: 20004450
Updates Surg. 2021 Dec;73(6):2137-2143
pubmed: 33993462
Surg Endosc. 2020 Sep;34(9):4200-4205
pubmed: 32399939
Tech Coloproctol. 2019 Nov;23(11):1023-1035
pubmed: 31646396