[The use of stapling sutures by right hemicolectomy]

Area of Science:

• Colorectal Surgery
• Surgical Oncology
• Gastrointestinal Oncology

Background:

• Right hemicolectomy (RH) is a common procedure for colon cancer.
• Surgical technique for ileocolic anastomosis impacts postoperative outcomes.
• Comparing stapled end-to-side versus end-to-end anastomosis is crucial for patient safety.

Purpose of the Study:

• To compare the safety and efficacy of stapled ileocolic end-to-side anastomosis versus end-to-end anastomosis in patients undergoing RH for colon cancer.
• To evaluate postoperative complications, including anastomotic dehiscence and mortality, between the two techniques.

Main Methods:

• Retrospective comparison of 90 RH patients (2011-2012) using stapled end-to-side ileocolic anastomosis with 100 RH patients (2002-2005) using stapled end-to-end anastomosis.
• All patients had confirmed colon cancer.
• Outcomes analyzed included operative time, anastomosis formation time, re-operation rate, postoperative complications, and anastomotic complications.

Main Results:

• The end-to-side anastomosis group had significantly lower rates of overall postoperative complications (12% vs. 26%; p=0.016) and anastomotic complications (1% vs. 8%; p=0.02).
• No anastomotic dehiscence or postoperative mortality was observed in the end-to-side group.
• Re-operation rate was low at 1.1% for the end-to-side technique.

Conclusions:

• Stapled ileocolic end-to-side anastomosis is a safe and effective technique for RH in colon cancer treatment.
• This method demonstrates a reduced risk of postoperative complications and anastomotic insufficiency compared to the end-to-end technique.
• The findings support the use of end-to-side anastomosis for minimizing complications and lethality in RH procedures.