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How safe are laparoscopic intracorporeal anastomoses?
R A Lang1, T P Hüttl, H Winter
1Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, München. Reinhold.Lang@gch.med.uni-muenchen.de
Zentralblatt Fur Chirurgie
|February 18, 2005
Summary
Complete intracorporeal anastomosis is a safe technique for colorectal resections when performed by experienced laparoscopic surgeons. This method shows low rates of postoperative stenosis and anastomotic leakage, making it a viable option.
Area of Science:
- Gastrointestinal Surgery
- Minimally Invasive Procedures
- Surgical Anastomosis Techniques
Background:
- Complete intracorporeal anastomoses are rare in laparoscopic colorectal resections (1.8%).
- Existing literature suggests hand-sutured anastomoses are technically demanding and uncommon.
- Current intracorporeal techniques often utilize endoscopic linear staplers or circular staplers.
Purpose of the Study:
- To review and analyze the safety of complete intracorporeal anastomosis in colorectal surgery.
- To evaluate the incidence of complications associated with this surgical technique.
Main Methods:
- A comprehensive literature survey was conducted.
- Searched for studies on complete intracorporeal anastomosis using various keywords.
Main Results:
- Intracorporeal anastomosis is frequently performed using stapling devices, not hand-suturing.
- These techniques are more prevalent in upper gastrointestinal tract surgeries compared to lower.
- The study identified specific types of anastomoses: end-to-end, end-to-side, and side-to-side.
Conclusions:
- Complete intracorporeal anastomoses are safe when executed by laparoscopically experienced surgeons.
- Postoperative stenosis rates are low, ranging from 0-10%.
- Postoperative anastomotic leakage rates are also low, between 0-8%.