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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.

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Author information

Correspondence to F. Corcione.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the institution.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Intracorporeal ileocolic anastomosis following right colectomy: hand-sewn double-layer closure of enterotomy (MOV 338897 kb)

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Intracorporeal ileocolic anastomosis following right colectomy: hand-sewn double-layer closure of enterotomy (MOV 338897 kb)

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Reggio, S., Sciuto, A., Cuccurullo, D. et al. Single-layer versus double-layer closure of the enterotomy in laparoscopic right hemicolectomy with intracorporeal anastomosis: a single-center study. Tech Coloproctol 19, 745–750 (2015). https://doi.org/10.1007/s10151-015-1378-2

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Keywords

  • Right colon cancer
  • Laparoscopic right colectomy
  • Intracorporeal anastomosis
  • Anastomotic leakage
  • Double layer