Abstract
Background: In the current era, advancements in technology and robotics are expected to significantly influence surgical trends. Therefore, further research on stapling techniques in laparoscopic colectomy remains essential.
Materials and Methods: This descriptive, prospective study included all patients who underwent laparoscopic colectomy with stapled anastomosis for colon cancer at Hue Central Hospital and Hue University of Medicine and Pharmacy Hospital between January 2022 and February 2023.
Results: A total of 65 patients were included, with a mean age of 60.0 ± 13.2 years (range: 28 - 87); 62.5% were male and 37.5% female. The surgical procedures performed were right hemicolectomy in 28 cases (43.1%), sigmoidectomy in 23 cases (35.4%), left hemicolectomy in 13 cases (20.0%), and transverse colectomy in 1 case (1.5%). Intracorporeal anastomosis was performed in 28 patients (43.1%), and extracorporeal anastomosis in 37 patients (56.9%). Anastomotic types included side-to-side (63.1%), end-to-end (30.8%), and end-to-side (6.2%). Postoperative complications included six cases of surgical site infection and one case of intestinal obstruction. According to the Clavien-Dindo classification, 9.2% were grade I and 1.5% were grade II.
Conclusion: Stapled anastomosis in laparoscopic colectomy is a safe and feasible technique.
| Published | 2025-12-25 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | Vol. 15 No. 7 (2025) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2025.7.20 | |
| Keywords | Ung thư đại tràng, phẫu thuật nội soi, miệng nối máy Colon cancer, laparoscopic colectomy, stapled anastomosis |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Hue Journal of Medicine and Pharmacy
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49.
Kuipers EJ, Grady WM, Lieberman D, Seufferlein T, Sung JJ, Boelens PG, et al. Colorectal cancer. Nature reviews Disease primers. 2015;1:15065.
Hageman D, Caillet V, Kostohryz J, Madick S. Laparoscopic-assisted colon surgery. AORN journal. 2008;88(3):403-12; quiz 13-6.
Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surgical laparoscopy & endoscopy. 1991;1(3):144-50.
Ho YH, Ashour MA. Techniques for colorectal anastomosis. World J Gastroenterol. 2010;16(13):1610-21.
Steger J, Jell A, Ficht S, Ostler D, Eblenkamp M, Mela P, et al. Systematic Review and Meta-Analysis on Colorectal Anastomotic Techniques. Therapeutics and clinical risk management. 2022;18:523-39.
Polese L, Vecchiato M, Frigo AC, Sarzo G, Cadrobbi R, Rizzato R, et al. Risk factors for colorectal anastomotic stenoses and their impact on quality of life: what are the lessons to learn? Colorectal Dis. 2012;14(3):e124-8.
Brown RF, Cleary RK. Intracorporeal anastomosis versus extracorporeal anastomosis for minimally invasive colectomy. Journal of gastrointestinal oncology. 2020;11(3):500-7.
Emile SH, Elfeki H, Shalaby M, Sakr A, Bassuni M, Christensen P, et al. Intracorporeal versus extracorporeal anastomosis in minimally invasive right colectomy: an updated systematic review and meta-analysis. Techniques in coloproctology. 2019;23(11):1023-35.
Oliveira A, Faria S, Gonçalves N, Martins A, Leão P. Surgical approaches to colonic and rectal anastomosis: systematic review and meta-analysis. International journal of colorectal disease. 2023;38(1):52.
Kojima M, Konishi F, Okada M, Nagai H. Laparoscopic colectomy versus open colectomy for colorectal carcinoma: a retrospective analysis of patients followed up for at least 4 years. Surgery today. 2004;34(12):1020-4.
Wolthuis AM, Bislenghi G, Fieuws S, de Buck van Overstraeten A, Boeckxstaens G, D’Hoore A. Incidence of prolonged postoperative ileus after colorectal surgery: a systematic review and meta-analysis. Colorectal Dis. 2016;18(1):O1-9.
Shereef A, Raftery D, Sneddon F, Emslie K, Mair L, Mackay C, et al. Prolonged Ileus after Colorectal Surgery, a Systematic Review. Journal of clinical medicine. 2023;12(18).
Baqar AR, Wilkins S, Wang WC, Oliva K, Centauri S, Yap R, et al. A comparison of extracorporeal side to side or end to side anastomosis following a laparoscopic right hemicolectomy for colon cancer. ANZ journal of surgery. 2022;92(6):1472-9.
Choy PY, Bissett IP, Docherty JG, Parry BR, Merrie A, Fitzgerald A. Stapled versus handsewn methods for ileocolic anastomoses. The Cochrane database of systematic reviews. 2011(9):Cd004320.
Neutzling CB, Lustosa SA, Proenca IM, da Silva EM, Matos D. Stapled versus handsewn methods for colorectal anastomosis surgery. The Cochrane database of systematic reviews. 2012(2):Cd003144.