Abstract
Purpose
There is no standard anastomosis technique for performing reconstruction after right hemicolectomy, and, in the literature, studies on ileocolonic anastomosis are rare. The aim of this retrospective work was to analyze the type of anastomosis techniques used and the related results in a multicentric enquiry.
Methods
A questionnaire was sent to the departments of surgery covering a 1.8 million inhabitant area to collect data concerning the anastomosis techniques used and the results related to complications.
Results
Data for 999 patients from 14 departments of surgery were collected. 95.8 % of the patients were affected by cancer and 4.2 % were affected by inflammatory bowel disease (IBD). The positioning of the anastomosing bowel was side-to-side in 60.5 % of the patients, end-to-side (E–S) in 38.1 % of the patients and end-to-end in 1.3 % of the patients. 46.4 % of the anastomoses were handsewn and 53.6 % were stapled. The complication rate in the cancer group was 5.1 % for handsewn techniques and 4.7 % for stapled techniques. The rate of anastomotic leakage was higher in the handsewn group than that in the stapled group (P < 0.05). The data for the IBD group were not statistically relevant.
Conclusions
This wide multicentric retrospective analysis showed that there remains variability in ileocolonic anastomosis techniques. Stapled anastomoses are associated with a lower incidence of leakage. In stapled anastomoses, the E–S configuration is also related to a lower incidence of leakage.
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Acknowledgments
We acknowledge the contributions of the following physicians to provide data concerning their patients: General Surgery Hospital of Acireale—Head: Dr. Alfio Saggio; General Surgery Hospital of Biancavilla—Head: Dr Gaetano Caldarera; General Surgery Hospital of Bronte—Head: Dr Alfio Cinardi; General Surgery Cannizzaro Hospital Catania—Head: Prof. Lino Succi; Emergency Surgery Cannizzaro Hospital Catania—Head: Prof. Domenico Russello; Abdominal Surgery Humanitas Hospital Catania—Head: Dr. Sebastiano Mongiovì; General Surgery Morgagni Clinic Catania—Head: Prof. Sergio Castorina; Emergency Surgery Garibaldi Hospital Catania—Head: Prof. Luigi Piazza; General Surgery Policlinico Catania—Head: Prof. Antonio Di Cataldo; General Surgery Vittorio Emanuele Hospital Catania—Head: Prof. Diego Piazza; General Surgery Vittorio Emanuele Hospital Catania—Head: Prof. Stefano Puleo; General Surgery Hospital of Lentini—Head: Prof. Giovanni Trombatore; Surgical Oncology Hospital of Taormina- Head: Dr. Vincenzo Panebianco; General Surgery Hospital of Vittoria, Ragusa—Head: Prof. Vincenzo Minutolo.
Conflict of interest
Stefano Puleo and the other co-authors have no conflicts of interest to declare.
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Puleo, S., Sofia, M., Trovato, M.A. et al. Ileocolonic anastomosis: preferred techniques in 999 patients. A multicentric study. Surg Today 43, 1145–1149 (2013). https://doi.org/10.1007/s00595-012-0381-8
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DOI: https://doi.org/10.1007/s00595-012-0381-8