Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in laparoscopic-assisted surgery for left-sided colon cancer: a propensity score matching analysis

Sato, Kentaro; Imaizumi, Ken; Kasajima, Hiroyuki; Kurushima, Michihiro; Umehara, Minoru; Tsuruga, Yosuke; Yamana, Daisuke; Sato, Aya; Ichimura, Kentaro; Nakanishi, Koji

doi:10.1007/s00423-021-02403-6

Cited by 4 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a meta-analysis comparing hand-sewn and instrumented anastomoses for colorectal cancer surgery, stapled anastomosis was reported to be signi cantly safer with fewer suture failures compared to hand-sewn anastomosis (failure rate: 1.4% vs 5.8%, respectively; p = 0.02) [5]. In recent reports, the anastomotic leakage rate for FEEA has been reported as 1.6-4.8% [9,10], with limited data available for Delta anastomosis. Su et al reported no anastomotic complications, including suture failure, in a study of 86 cases treated using Delta methods, the number of cases remains small and accumulation of more data is needed [12].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Short-term outcomes of delta-shaped anastomosis versus functional end-to-end anastomosis using linear staplers for colon cancer

Ono,

Tominaga,

Ishii

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Several methods are used for reconstruction in colon cancer surgery, including hand-sewn or stapled anastomosis. However, few reports have compared short-term outcomes among reconstruction methods. This study compared short-term outcomes between delta-shaped anastomosis (Delta) and functional end-to-end anastomosis (FEEA). Methods We retrospectively reviewed 1314 consecutive patients who underwent colorectal surgery with FEEA or Delta reconstruction between January 2016 and December 2023. Patients were divided into two groups according to reconstruction by FEEA (F group; n = 1242) or Delta (D group; n = 72). Propensity score matching was applied to minimize the possibility of selection bias and to balance covariates that could affect postoperative complications. Short-term outcomes were compared between groups. Results Postoperative complications occurred in 215 patients (17.3%) in F group and 8 patients (11.1%) in D group. Before matching, transverse colon cancer was more frequent (p = 0.002), clinical N-positive status was less frequent (44.1% vs 16.7%, p < 0.001), distant metastasis was less frequent (11.7% vs 1.4%, p = 0.003), and laparoscopic approach was more frequent (87.8% vs 100%, p < 0.001) in D group. After matching, no differences in any clinical factor were evident between groups. Blood loss was lower (28 mL vs 10 mL, p = 0.002) in D group. However, operation time and postoperative complication rates were similar between groups. Conclusions Delta and FEEA were both considered safe as reconstruction methods. Delta anastomosis may be more useful for patients with transverse colon cancer for whom transfusion should be minimized.

show abstract

Section: Discussionmentioning

confidence: 99%

“…There is a paucity of publications comparing short-term prognosis between methods of bowel reconstruction in cases of colorectal cancer [9,10]. Further, most previous reports have been singlecenter studies that could have had several sources of bias.…”

Section: Introductionmentioning

confidence: 99%

Short-term outcomes of delta-shaped anastomosis versus functional end-to-end anastomosis using linear staplers for colon cancer

Ono,

Tominaga,

Ishii

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Short- and long-term outcomes of preservation versus ligation of the inferior mesenteric artery in laparoscopic D3 lymph node dissection for descending colon cancer: a propensity score-matched analysis

Sato

Imaizumi

Kasajima

et al. 2023

Langenbecks Arch Surg

Self Cite

View full text Add to dashboard Cite

This study aimed to compare the short-and long-term outcomes of laparoscopic D3 lymph node (LN) dissection between ligation of the inferior mesenteric artery (IMA) (LIMA) and preservation of the superior rectal artery (SRA) (PSRA) for descending colon cancer using propensity score-matched analysis. MethodsThis retrospective study included 101 patients with stage I-III descending colon cancer who underwent laparoscopic D3 LN dissection with LIMA (n = 60) or PSRA (n = 41) at a single center between January 2005 and March 2022. After propensity score matching, 64 patients (LIMA, n = 32; PSRA, n = 32) were included in the analysis. The primary endpoint was the long-term outcomes, and the secondary endpoint was the surgical outcomes. ResultsIn the matched cohort, no signi cant difference was noted in surgical outcomes, included the operative time, estimated blood loss, number of harvested LNs, number of harvested LN 253, and complication rate. The long-term outcomes were also not signi cantly different between the LIMA and PSRA groups (3year recurrence-free survival: 78.7% vs. 88.9%, P = 0.335; 5-year overall survival: 69.8% vs. 63.4%, P = 0.888; 5-year cancer-speci c survival: 84.2% vs. 82.8%, P = 0.607). No recurrence of LN metastasis was observed around the IMA root. ConclusionLaparoscopic D3 dissection in PSRA was comparable to that in LIMA regarding both short-and long-term outcomes. The optimal LN dissection for descending colon cancer should be investigated in future largescale studies.

show abstract

Usefulness of the one-step technique in functional end-to-end anastomosis for colonic surgery: results of a prospective multicentre cohort study from the Japanese KYCC group

Iguchi,

Sato,

Shiozawa

et al. 2024

Tech Coloproctol

View full text Add to dashboard Cite

Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in laparoscopic-assisted surgery for left-sided colon cancer: a propensity score matching analysis

Cited by 4 publications

References 16 publications

Short-term outcomes of delta-shaped anastomosis versus functional end-to-end anastomosis using linear staplers for colon cancer

Short-term outcomes of delta-shaped anastomosis versus functional end-to-end anastomosis using linear staplers for colon cancer

Short- and long-term outcomes of preservation versus ligation of the inferior mesenteric artery in laparoscopic D3 lymph node dissection for descending colon cancer: a propensity score-matched analysis

Usefulness of the one-step technique in functional end-to-end anastomosis for colonic surgery: results of a prospective multicentre cohort study from the Japanese KYCC group

Contact Info

Product

Resources

About