title: Best resident poster award: evaluation of anastomotic techniques for laparoscopic resection of isolated small intestine pathology.
abstract: BACKGROUND
  The purpose of this study was to compare perioperative outcomes for intracorporeal versus extracorporeal anastomotic techniques for isolated laparoscopic small-intestine resection.
  
  
  METHODS
  A retrospective database was created for all adult patients who underwent a laparoscopic segmental small-intestine resection. Patients with inflammatory bowel disease or requiring an ileocolectomy were excluded.
  
  
  RESULTS
  Laparoscopic resection was performed in 52 patients (ratio of men:women, 30:22) with a mean age of 47 ± 21 years. A laparoscopic intracorporeal anastomosis was performed in 30 patients (58%), and an extracorporeal anastomosis was performed in 22 patients (42%). There was no difference in mean operating room time, estimated blood loss, perioperative complication rate, or length of stay between the 2 groups. Ten patients had a complication, and 5 patients experienced a Clavien grade II or greater complication.
  
  
  CONCLUSIONS
  Laparoscopic segmental small-bowel resection using either intracorporeal or extracorporeal anastomotic techniques is equally efficacious for pathology isolated to the small bowel.
authors.affiliation: Department of Surgery, William Beaumont Army Medical Center, El Paso, TX, USA.
authors.forename: Shaun R
authors.initials: SR
authors.lastname: Brown
authors.forename: Jason
authors.initials: J
authors.lastname: Meyers
authors.forename: Eric D
authors.initials: ED
authors.lastname: Jenkins
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Frisella
authors.forename: L Michael
authors.initials: LM
authors.lastname: Brunt
authors.forename: J Christopher
authors.initials: JC
authors.lastname: Eagon
authors.forename: Kurt G
authors.initials: KG
authors.lastname: Davis
authors.forename: Brent D
authors.initials: BD
authors.lastname: Matthews
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications