Value of different anastomoses in laparoscopic radical right hemicolectomy for right-sided colon cancer: retrospective study and literature review

Abstract

Background This study aimed to analyze the safety of circular lateral anastomosis and cross-lateral anastomosis in laparoscopic radical resection of right-sided colon cancer. Methods From January 2018 to March 2021, 147 patients with right-sided colon cancer were admitted to the Department of General Surgery, Cancer Hospital, Zhengzhou University. The experimental group comprised patients with circular lateral anastomosis, whereas the control group comprised patients with cruciform lateral anastomosis. The general clinical data, intraoperative features, and postoperative results of the two groups were compared and analyzed. Results Both groups successfully underwent laparoscopic lateral ileocolic anastomosis, with significant differences in anastomotic leakage (χ2=4.520, P < 0.05). By contrast, body mass index (t = 1.568, P = 0.119), histological typing (χ2 = 2.067, P = 0.559), intraoperative bleeding (t = 0.418, P = 0.677), and intestinal obstruction (χ2 = 2.564, P = 0.109) were not significantly different between the groups (P > 0.05). Conclusions In laparoscopic-assisted radical hemicolectomy for right-sided colon cancer, the incidence of postoperative anastomotic leakage was lower with circular lateral anastomosis than with cross-lateral anastomosis, and circular lateral anastomosis was superior to cross-lateral anastomosis in terms of reducing the length of hospital stay and improving patients' postoperative quality of life.

Comparative Analysis of Functional End-to-End and End-to-Side Anastomosis in Laparoscopic Right Hemicolectomy for Colon Cancer

“…Some suggest lower leakage rates in ETS compared to FETE, whereas others report no signi cant difference between the two. [11,15,[21][22][23] Our study found an overall anastomotic leakage rate of 0.66%, with no signi cant difference between FETE and ETS anastomosis, a nding that aligns with the generally lower rates of leakage observed in modern surgical practice due to improved stapler use and advanced techniques. [22,24,25] Appropriate stapler use and advanced surgical techniques may have contributed to the reduced rate of anastomotic leakage, leading to no signi cant differences in leakage rates between the different types of anastomosis.…”