Techniques in Coloproctology

, Volume 17, Issue 5, pp 479–485 | Cite as

Intracorporeal ileocolic anastomosis: a review

  • C. Tarta
  • M. Bishawi
  • R. Bergamaschi


This study is a narrative review of the current literature regarding intracorporeal ileocolic anastomosis in laparoscopic right colon resection for benign or malignant diseases of the right colon and terminal ileum. The search strategy included Medline, Embase, CINAHL, ACP Journal Club, and Cochrane databases with laparoscopic right colectomy and intracorporeal anastomosis as keywords. All retrieved references were screened by two independent blinded reviewers. Thirteen papers including 611 patients undergoing laparoscopic right colon resection with intracorporeal ileocolic anastomosis for benign or malignant diseases of the right colon and terminal ileum were identified. There were eight case series and five case control studies. Anastomoses were fashioned as antiperistaltic or isoperistaltic, totally stapled or stapled/handsewn. The mesenteric defect was mostly left open. Overall operating time ranged from 53 to 360 min. The most common specimen extraction site locations were periumbilical, suprapubic, or transvaginal with a median incision length ranging from 3 to 6 cm. The overall rate of surgical site infection was 2.7 %. The anastomotic leak rates varied from 0 to 8.5 %. Postoperative mortality was 0.12 %. Intracorporeal ileocolic anastomosis following laparoscopic resection of the right colon is not commonly performed, but offers potential benefits if carried out by experienced surgeons in selected patients.


Review Laparoscopic intracorporeal anastomosis Laparoscopic right colon resection Benign disease Malignant disease Right colon Terminal ileum 


Conflict of interest



  1. 1.
    Young-Fadok TM, Nelson H (2000) Laparoscopic right colectomy: five-step procedure. Dis Colon Rectum 43:267–271 discussion 271–273PubMedCrossRefGoogle Scholar
  2. 2.
    Senagore A, Delaney C, Brady K, Fazio V (2004) Standardized approach to laparoscopic right colectomy: outcomes in 70 consecutive cases. J Am Coll Surg 5:675–679CrossRefGoogle Scholar
  3. 3.
    Ou H (1995) Laparoscopic-assisted mini laparotomy with colectomy. Dis Colon Rectum 38:324–326PubMedCrossRefGoogle Scholar
  4. 4.
    Casciola L, Ceccarelli G, Di Zitti L et al (2003) Laparoscopic right hemicolectomy with intracorporeal anastomosis. Technical aspects and personal experience. Minerva Chir 58:621–627PubMedGoogle Scholar
  5. 5.
    McKenzie S, Baek J-H, Wakabayashi M, Garcia-Aguilar J, Pigazzi A (2010) Totally laparoscopic right colectomy with transvaginal specimen extraction: the authors’ initial institutional experience. Surg Endosc 24:2048–2052PubMedCrossRefGoogle Scholar
  6. 6.
    Park JS, Choi GS, Lim KH et al (2010) Clinical outcome of laparoscopic right hemicolectomy with transvaginal resection, anastomosis, and retrieval of specimen. Dis Colon Rectum 53:1473–1479PubMedCrossRefGoogle Scholar
  7. 7.
    Awad ZT, Qureshi I, Seibel B, Sharma S, Dobbertien MD (2011) Laparoscopic right hemicolectomy with transvaginal colon extraction using a laparoscopic posterior colpotomy: a 2-year series from a single institution. Surg Laparosc Endosc Percutan Tech 21:403–408PubMedCrossRefGoogle Scholar
  8. 8.
    Franklin ME Jr, Gonzalez JJ Jr, Miter DB et al (2004) Laparoscopic right hemicolectomy for cancer: 11-year experience. Rev Gastroenterol Mex 69:65–72PubMedGoogle Scholar
  9. 9.
    Hellan M, Anderson C, Pigazzi A (2009) Extracorporeal versus intracorporeal anastomosis for laparoscopic right hemicolectomy. JSLS 13:312–317PubMedGoogle Scholar
  10. 10.
    Grams J, Tong W, Greenstein AJ, Salky B (2010) Comparison of intracorporeal versus extracorporeal anastomosis in laparoscopic-assisted hemicolectomy. Surg Endosc 24:1886–1891PubMedCrossRefGoogle Scholar
  11. 11.
    Chaves JA, Idoate CP, Fons JB et al (2011) A case control study of extracorporeal versus intracorporeal anastomosis in patients subjected to right laparoscopic hemicolectomy. Cir Esp 89:24–30PubMedCrossRefGoogle Scholar
  12. 12.
    Bergamaschi R, Schochet E, Haughn C, Burke M, Reed JF 3rd, Arnaud JP (2008) Standardized laparoscopic intracorporeal right colectomy for cancer: short-term outcome in 111 unselected patients. Dis Colon Rectum 51:1350–1355PubMedCrossRefGoogle Scholar
  13. 13.
    Bergamaschi R, Haughn C, Reed JF 3rd, Arnaud JP (2009) Laparoscopic intracorporeal ileocolic resection for crohn’s disease: Is it safe? Dis Colon Rectum 52:651–656PubMedCrossRefGoogle Scholar
  14. 14.
    Kracht M, Hay JM, Fagniez PL, Fingerhut A (1993) Ileocolonic anastomosis after right hemicolectomy for carcinoma: stapled or hand-sewn? A prospective, multicenter, randomized trial. Int J Colorect Dis 8:29–33CrossRefGoogle Scholar
  15. 15.
    Scatizzi M, Kroning K, Borrelli A, Andan G, Lenzi E, Feroci F (2010) Extracorporeal versus intracorporeal anastomosis after laparoscopic right colectomy for cancer: a case-control study. World J Surg 34:2902–2908PubMedCrossRefGoogle Scholar
  16. 16.
    Blumberg D (2009) Laparoscopic colectomy performed using a completely intracorporeal technique is associated with similar outcomes in obese and thin patients. Surg Laparosc Endosc Percutan Tech 19:57–61PubMedCrossRefGoogle Scholar
  17. 17.
    Fabozzi M, Allieta R, Contul RB et al (2010) Comparison of short- and medium-term results between laparoscopically assisted and totally laparoscopic right hemicolectomy: a case-control study. Surg Endosc 24:2085–2091PubMedCrossRefGoogle Scholar
  18. 18.
    Cabot JC, Lee SA, Yoo J, Nasar A, Whelan RL, Feingold DL (2010) Long-term consequences of not closing the mesenteric defect after laparoscopic right colectomy. Dis Colon Rectum 53:289–292PubMedCrossRefGoogle Scholar
  19. 19.
    Causey MW, Oguntoye M, Steele SR (2011) Incidence of complications following colectomy with mesenteric closure versus no mesenteric closure: does it really matter? J Surg Res 171:571–575PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  1. 1.Division of Colon and Rectal SurgeryState University of New York, Stony BrookStony BrookUSA

Personalised recommendations