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Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery

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Author(s)
Seong Kyu Baek
Keimyung Author(s)
Baek, Seong Kyu
Department
Dept. of Surgery (외과학)
Journal Title
J Minim Invasive Surg
Issued Date
2022
Volume
25
Issue
3
Keyword
Colonic neoplasmsAnastomosisSurgicalColectomyRobotic surgical procedures
Abstract
Laparoscopic right colectomy is currently considered the standard treatment for right colon cancer. After excision of the right colon, minimally invasive options for ileocolonic anastomosis include extracorporeal anastomosis (EA) and intracorporeal anastomosis (IA). However, the choice of anastomotic technique remains debated. As the entire IA is performed in the abdominal cavity, it is known for its advantages of a faster intestinal recovery and small incision. However, IA is time-consuming and technically difficult, limiting its widespread use. Recently, the robotic approach has increased the adoption of intracorporeal anastomotic techniques owing to the benefits of endowrist-articulated instruments and staplers. Except for a small incision and faster bowel recovery, the outcomes of the two anastomoses methods are inconsistent. To date, there has been no clear conclusion regarding whether IA or EA should be used to treat right colon cancer. This review aimed to investigate the current evidence relating to intraoperative outcomes and shortterm postoperative results between both anastomotic approaches.
Keimyung Author(s)(Kor)
백성규
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2234-5248
Source
https://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2022.25.3.91
DOI
10.7602/jmis.2022.25.3.91
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44469
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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