8 / 8
Page 41
N o v e m b e r 2 3 - 2 4 , 2 0 1 8 | B a n g k o k , T h a i l a n d
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
alliedacademies.comYEARS
Pharma Summit 2018 & Gastro Summit 2018 Asian Journal of Biomedical and Pharmaceutical Sciences | ISSN: 2249-622X | Volume 8
&
GLOBAL PHARMA SUMMIT
GASTROENTEROLOGY AND HEPATOLOGY
2
nd
International Conference on
Asian J Biomed Pharmaceut Sci 2018, Volume 8 | DOI: 10.4066/2249-622X-C5-015
INTRACORPOREAL VERSUS EXTRACORPOREAL ANASTOMOSIS IN
LAPAROSCOPIC RIGHT COLECTOMY: OUR EXPERIENCE
Pellegrino Domenico Massimo, Inviati Angela, D’Avolio Michele, Palma Antonio, Maltese Stefania, Mascolino
Alice
and
Schifano Domenico
Ospedale San Vito e Santo Spirito, Italy
Background:
Comparison between short and long-term outcomes of intracorporeal anastomosis (IA) versus extracorporeal
anastomosis (EA) in laparoscopic right colectomy (LRC)
Patients and Methods:
From January 2016 to February 2018, thirty-five patients who underwent LRC with IA matched with 33
patients who underwent LRC with EA. Intraoperative complication, short-terms outcomes, morbidity and mortality rates were
analyzed.
Results:
No differences were intraoperative outcomes (operative time, blood loss, length of incision, conversion rate, lymph
nodes harvested and intraoperative complications). Postoperative short outcomes: anastomotic leak occurred in 4.7% of pa-
tients in the IA group versus 7.8% in the EA group (P= 0.71). The time to first flatus and defecation was similar. No differences
were observed with respect to the length of stay and reoperative rate. The long-terms outcomes (incisional hernia, mortality,
wound infection) were similar.
Conclusion:
our study shows that there is no difference in the short and long outcomes in IA and EA group. The rate of anasto-
motic leak, although higher in the IA group than in the EA group, is not statistically significant.