title: Single-layer versus double-layer closure of the enterotomy in laparoscopic right hemicolectomy with intracorporeal anastomosis: a single-center study.
abstract: BACKGROUND
  The aim of our study was to evaluate the short-term outcomes of totally laparoscopic right colectomy, in particular to compare the incidence of leakage of the ileocolic anastomosis after either single-layer (SL) or double-layer (DL) enterotomy closure.
  
  
  METHODS
  From March 2010 to July 2014, 162 patients underwent laparoscopic right colectomy with intracorporeal ileocolic anastomosis. The enterotomy was closed with either SL (77 patients) or DL technique (85 patients). Short-term outcomes in both groups were retrospectively analyzed.
  
  
  RESULTS
  Median time to perform the ileocolic anastomosis was similar in the two groups (17 min in SL versus 20 min in DL, p = 0.109). DL closure was associated with a significantly lower incidence of anastomotic leakage (1.2 % in DL vs 7.8 % in SL, p = 0.044). Shorter hospital stay was also observed in the DL group.
  
  
  CONCLUSIONS
  Adoption of DL closure of the enterotomy resulted in significantly improved outcome. We strongly recommend a double-layer closure technique when performing an intracorporeal enterocolic anastomosis.
authors.affiliation: Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131, Naples, NA, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Reggio
authors.affiliation: Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131, Naples, NA, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Sciuto
authors.affiliation: Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131, Naples, NA, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Cuccurullo
authors.affiliation: Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131, Naples, NA, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Pirozzi
authors.affiliation: Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131, Naples, NA, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Esposito
authors.affiliation: Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131, Naples, NA, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Cusano
authors.affiliation: Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli" - Monaldi Hospital, Via Leonardo Bianchi s.n.c., 80131, Naples, NA, Italy. francesco.corcione@ospedalideicolli.it.
authors.forename: F
authors.initials: F
authors.lastname: Corcione
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D057868:Anastomotic Leak / Q000209:etiology*; D003082:Colectomy / Q000009:adverse effects; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D013536:Suture Techniques / Q000009:adverse effects*
keywords: Anastomotic leakage; Double layer; Intracorporeal anastomosis; Laparoscopic right colectomy; Right colon cancer