title: Comparison of anastomotic configuration after laparoscopic right hemicolectomy under enhanced recovery program: side-to-side versus end-to-side anastomosis.
abstract: BACKGROUND
  Stapled technique for ileocolic anastomosis is largely supported in previous studies. However, standard anastomotic configuration is not conclusive and studies are limited. This study aims to compare postoperative outcomes between side to side (S-S) and end to side (E-S) stapled anastomosis after laparoscopic right hemicolectomy underenhanced recovery program (ERP).
  
  
  METHODS
  Between October 2009 and November 2012, 89 patients (46 in S-S group, 43 in E-S group) who underwent laparoscopic right hemicolectomy for colon cancer and managed with ERP were included in the study. Recovery time and cumulative recovery rates, the length of hospital stays, complication rates were analyzed to compare both configurations.
  
  
  RESULTS
  The recovery time were not different between groups (S-S group, 135 hours [84-183.5] vs E-S group, 117 hours [94-143]; P = 0.349). Difference of cumulative recovery rates were observed in postoperative day 7 (S-S group, 71.7 % vs E-S group, 93.0 %; P = 0.019). The postoperative hospital stay were shorter in E-S group (S-S, 7 days [6-9] vs E-S, 6 days [5-7]; P = 0.003). The overall complication rates were lower in E-S group (26.1 % vs 4.6 %; P = 0.008). Anastomotic leakage was not observed in both groups.
  
  
  CONCLUSIONS
  E-S configuration after laparoscopic right hemicolectomy showed favorable outcomes under enhanced recovery program.
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, 463-707, Republic of Korea.
authors.forename: Kang-Haeng
authors.initials: KH
authors.lastname: Lee
authors.affiliation: Department of Surgery, Chung Hospital, 2968 Sujin 2-dong, Sujeong-gu, Seongnam, 461-872, Republic of Korea.
authors.forename: Sung-Min
authors.initials: SM
authors.lastname: Lee
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, 463-707, Republic of Korea.
authors.forename: Heung-Kwon
authors.initials: HK
authors.lastname: Oh
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, 463-707, Republic of Korea.
authors.forename: Soo-Young
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, 463-707, Republic of Korea.
authors.forename: Myong Hoon
authors.initials: MH
authors.lastname: Ihn
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, 463-707, Republic of Korea.
authors.forename: Duck-Woo
authors.initials: DW
authors.lastname: Kim
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, 463-707, Republic of Korea. kangsb@snubh.org.
authors.forename: Sung-Bum
authors.initials: SB
authors.lastname: Kang
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D057868:Anastomotic Leak / Q000453:epidemiology; D003082:Colectomy / Q000379:methods*; D044682:Colon, Ascending / Q000601:surgery*; D003110:Colonic Neoplasms / Q000601:surgery*; D004434:Early Ambulation; D005260:Female; D006801:Humans; D045823:Ileus / Q000453:epidemiology; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care / Q000379:methods; D011183:Postoperative Complications / Q000453:epidemiology*; D019106:Postoperative Hemorrhage / Q000453:epidemiology; D011184:Postoperative Period; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology
keywords: Enhanced recovery program; Ileocolic anastomosis; Laparoscopic surgery