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The Feasibility of Common Enterotomy Closure Using Bidirectional Barbed Sutures in Intracorporeal Overlap Anastomosis
Masatsune Shibutani1, Tatsunari Fukuoka2, Hiroaki Kasashima2
1Department of Gastroenterological Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan fbxbj429@ybb.ne.jp.
Background/Aim:
Although intracorporeal anastomosis in minimally invasive colectomy has many advantages, it requires a longer operative time than extracorporeal anastomosis. For quick and reliable common enterotomy closure, we proposed a new method using bidirectional barbed sutures. The present study evaluated the safety and feasibility of common enterotomy closure using bidirectional barbed sutures in intracorporeal overlap anastomosis during robotic surgery for colon cancer.
Patients And Methods:
A total of 39 patients who underwent common enterotomy closure using bidirectional barbed sutures in intracorporeal overlap anastomosis during robotic surgery for colon cancer were enrolled in this study.
Results:
Although minor infectious complications were observed in a few cases, no anastomotic leakage or stricture was observed.
Conclusion:
Common enterotomy closure via a new method using bidirectional barbed sutures in intracorporeal overlap anastomosis may be a safe and useful procedure, especially in hospitals newly introducing intracorporeal anastomosis.
