A multicentre, prospective cohort study of handsewn versus stapled intracorporeal anastomosis for robotic hemicolectomy

Abstract

There has been a longstanding debate regarding the optimal anastomotic technique in minimally invasive right hemicolectomy, namely intracorporeal anastomosis (ICA) or extracorporeal anastomosis (ECA) and handsewn or stapled anastomosis. The current evidence base suggests that ICA is associated with faster gastrointestinal recovery, a shorter length of stay and reduced opiate consumption [1]. However, despite these demonstrable benefits, ECA is employed more widely due to its ease of formation. Furthermore, in 2015 the

Extracorporeal versus intracorporeal anastomosis for right colon cancer surgery

“…Recent studies have reported uniformly low rates of anastomotic leakage. The overall reported rates of anastomotic leak following robotic right colectomy are low, ranging between 0.9% and 3.8% [24][25][26]. Regarding SSI, theoretically, the intraperitoneal incision into the bowel lumen in IA may cause fecal spillage, which can lead to SSI.…”

“…Recent studies have reported uniformly low rates of anastomotic leakage. The overall reported rates of anastomotic leak following robotic right colectomy are low, ranging between 0.9% and 3.8% [ 24 - 26 ].…”