Outcome of functional end-to-end anastomosis following right hemicolectomy.
The aim of this study was to retrospectively evaluate the outcome of stapled, functional, end-to-end anastomosis (FEEA) for the reconstruction of right hemicolectomy. We enrolled 204 patients who underwent a right hemicolectomy for colon carcinomas or adenomas by open surgery. One hundred two patients received an FEEA, and 102 patients received a conventional, handsewn anastomosis after a right hemicolectomy. We examined the postoperative complications, the duration of the operations, and the recurrences. The wound infection rate was lower in the FEEA group than in the handsewn group (4.9 % versus 13.7 %; P = 0.03). The duration of the operations was shorter in the FEEA group than in the handsewn group (134.4 mins versus 160.0 mins; P < 0.0001). There was no recurrence of anastomosis or stenosis in either group. The FEEA method is an easy and safe technique compared with the conventional handsewn anastomosis procedure.
Sameshima
Shinichi
S
Department of Surgery, Hitachi Yokohama Hospital, Yokohama, Kanagawa, Japan. shinsame@me.com
Koketsu
Shinichiro
S
Yoneyama
Satomi
S
Miyato
Hideyo
H
Kaji
Toshio
T
Sawada
Toshio
T
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D016009:Chi-Square Distribution; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D017792:Surgical Stapling; D013530:Surgical Wound Infection / Q000453:epidemiology; D016896:Treatment Outcome