Effectiveness and safety of self-pulling and latter transection reconstruction in totally laparoscopic right hemicolectomy
作者全名："Yang, Fuyu; He, Fan; Tang, Chenglin; Chen, Defei; Xiong, Junjie; Zou, Yu; Woraikat, Saed; Qian, Kun; Li, Hui"
作者地址："[Yang, Fuyu; He, Fan; Tang, Chenglin; Chen, Defei; Xiong, Junjie; Zou, Yu; Woraikat, Saed; Qian, Kun; Li, Hui] Chongqing Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp 1, Chongqing, Peoples R China"
通信作者："Qian, K; Li, H (通讯作者)，Chongqing Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp 1, Chongqing, Peoples R China."
来源：FRONTIERS IN ONCOLOGY
ESI学科分类：CLINICAL MEDICINE
WOS号：WOS:001158433300001
JCR分区：Q2
影响因子：4.7
年份：2024
卷号：14
期号：
开始页：
结束页：
文献类型：Article
关键词：totally laparoscopic right hemicolectomy; right colon cancer; self-pulling and latter transection; laparoscopy-assisted right hemicolectomy; intracorporeal anastomosis; extracorporeal anastomosis
摘要："Background: Laparoscopic right hemicolectomy is a standard treatment modality for right colon cancer. However, performing intracorporeal anastomosis (IA) for totally laparoscopic right hemicolectomy (TLRH) remains a challenge for some surgeons. To simplify IA in TLRH we used self-pulling and latter transection (SPLT) reconstruction in TLRH, and compared this procedure with overlap IA and laparoscopy-assisted right hemicolectomy (LARH) in order to evaluate its safety and effectiveness. Methods: Patients with right colon cancer who underwent SPLT-TLRH, TLRH with overlap IA or LARH between July 2019 and June 2023 were evaluated retrospectively. Basic information, oncological features, perioperative outcomes, and postoperative complications were compared between groups. Results: In total, 188 patients with right colon cancer that underwent SPLT-TLRH (n = 60), TLRH(n=21) or LARH (n = 107) were included in the study. No patient required conversion to open surgery. The operation time in SPLT-TLRH group was significantly shorter than that in TLRH group (P<0.05). Compared with LARH group, SPLT-TLRH group had significantly longer distal margins, shorter skin incisions (P < 0.001), time to first flatus, time to first defecation, and postoperative hospital stays (P<0.05). Conclusion: We introduced SPLT to TLRH. The SPLT-TLRH group demonstrated better short-term outcomes. Therefore, we believe that SPLT reconstruction is effective and safe in TLRH for right colon cancer, and can simplify reconstruction."
基金机构：Chongqing Medical University Future Medical Youth innovation team development support program [03030299QC-W0007]; National Natural Science Foundation of China [81802398]
基金资助正文："The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was supported by the Chongqing Medical University Future Medical Youth innovation team development support program (Grant number 03030299QC-W0007) and the National Natural Science Foundation of China (Grant number 81802398). The funder was not involved in the study design, collection, analysis, interpretation of data, writing of this article, or decision to submit it for publication."
