[Intracorporeal hand-sewn technique used in totally laparoscopic colectomy].
OBJECTIVE
To evaluate the safety and feasibility of hand-sewn anastomosis in totally laparoscopic colectomy.


METHODS
Clinical data of 19 consecutive patients with benign(n=5) or malignant colonic diseases(n=14, 4 ascending colon cancers, 2 transverse colon cancers, and 8 sigmoid colon cancers) treated with totally laparoscopic colectomy with a hand-sewn anastomosis were reviewed. All the procedures were performed by the same surgeon team including totally laparoscopic resection and hand-sewn anastomosis, ileocolic anastomosis after right hemicolectomy, and hand-sewn purse-string sutures in the colon.


RESULTS
Hand-sewn anastomosis was performed for 11 patients and circular-stapled anastomosis with hand-sewn purse-string sutures was performed for other 8 patients. The mean hand-sewn anastomosis time was (49.5 ± 29.4) min, and the mean hand-sewn purse-string sutures time was (13.3 ± 5.5) min. No patients required conversion to laparoscopy-assisted or open surgery, and there were no postoperative complications related to anastomosis. One patient with transverse colon lipoma developed mild intra-abdominal infection after surgery and recovered after conservative treatment.


CONCLUSIONS
Totally laparoscopic intracorporeal hand-sewn anastomosis or hand-sewn purse-string sutures for colectomy is feasible and safe when performed by experienced laparoscopic surgeons.
Department of Surgery, The Fourth Military Medical University, Xi'an , China. dujjp@hotmail.com
Jian-jun
JJ
DU
Jian-bo
JB
Shuang
Jian-yong
JY
Zheng
Ji-peng
JP
Li
Qing-chuan
QC
Zhao
Liu
L
Hong
Sheng-bin
SB
Qi
Jin
J
Hua
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003082:Colectomy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative / Q000379:methods; D013536:Suture Techniques; D016896:Treatment Outcome