Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in lapa roscopic-assisted surgery for left-sided colon cancer: a pro pensity score matching analysis
[Purpose] To the best of our knowledge, no studies have compared the short-term outcomes between colo-colonic extracorporeal triangular anastomosis (TA) and functional end-to-end anastomosis (FEEA), with a focus on laparoscopic-assisted surgery for left-sided colon cancer. Therefore, this study comp...
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Editorial Office of Journal of Colorectal & Anal Surgery
2022-04-01
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| Series: | 结直肠肛门外科 |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=443&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
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| author | Ma Bin |
| author_facet | Ma Bin |
| author_sort | Ma Bin |
| collection | DOAJ |
| description | [Purpose] To the best of our knowledge, no studies have compared the short-term outcomes between colo-colonic extracorporeal triangular anastomosis (TA) and functional end-to-end anastomosis (FEEA), with a focus on laparoscopic-assisted surgery for left-sided colon cancer. Therefore, this study compared the short-term outcomes of these anastomoses using propensity score matching analysis. [Methods] This retrospective study included 129 patients with stage I-IV left-sided colon cancer who underwent laparoscopic-assisted surgery with colo-colonic extracorporeal TA (n=75) or FEEA (n=54) between May 2009 and March 2021. After propensity score matching, 84 patients (TA, n=42; FEEA, n=42) were included in the analysis. The primary endpoint was the complication rate for all grades, and the secondary endpoints were the rates of Clavien - Dindo grade ≥ 3 complications and anastomotic leakage. [Results] In the matched cohort, there were no significant differences in the complication rates for all grades (35.7% vs. 26.2%, p=0.479), Clavien - Dindo grade ≥ 3 complications (11.9% vs. 11.9%, p=1), and anastomotic leakage (0% vs. 4.8%, p=0.494) between the TA and FEEA groups. In the univariate logistic regression analysis, TA did not increase the frequency of complications for any grades compared with FEEA (odds ratio: 1.570, 95% confidence interval: 0.616-3.980, p=0.347). [Conclusion] Extracorporeal TA demonstrated equivalent short-term outcomes compared with FEEA in cases of laparoscopic-assisted surgery for left-sided colon cancer. TA can be an alternative anastomosis technique in cases wherein FEEA is difficult to perform. |
| format | Article |
| id | doaj-art-8d3885b45b13481697cc2279e6a66bd7 |
| institution | DOAJ |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2022-04-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-8d3885b45b13481697cc2279e6a66bd72025-08-20T03:14:58ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912022-04-0128217918010.19668/j.cnki.issn1674-0491.2022.02.018Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in lapa roscopic-assisted surgery for left-sided colon cancer: a pro pensity score matching analysisMa Bin0Department of Colorectal Surgery, Liaoning Cancer Hospital, Shenyang, Liaoning 110042[Purpose] To the best of our knowledge, no studies have compared the short-term outcomes between colo-colonic extracorporeal triangular anastomosis (TA) and functional end-to-end anastomosis (FEEA), with a focus on laparoscopic-assisted surgery for left-sided colon cancer. Therefore, this study compared the short-term outcomes of these anastomoses using propensity score matching analysis. [Methods] This retrospective study included 129 patients with stage I-IV left-sided colon cancer who underwent laparoscopic-assisted surgery with colo-colonic extracorporeal TA (n=75) or FEEA (n=54) between May 2009 and March 2021. After propensity score matching, 84 patients (TA, n=42; FEEA, n=42) were included in the analysis. The primary endpoint was the complication rate for all grades, and the secondary endpoints were the rates of Clavien - Dindo grade ≥ 3 complications and anastomotic leakage. [Results] In the matched cohort, there were no significant differences in the complication rates for all grades (35.7% vs. 26.2%, p=0.479), Clavien - Dindo grade ≥ 3 complications (11.9% vs. 11.9%, p=1), and anastomotic leakage (0% vs. 4.8%, p=0.494) between the TA and FEEA groups. In the univariate logistic regression analysis, TA did not increase the frequency of complications for any grades compared with FEEA (odds ratio: 1.570, 95% confidence interval: 0.616-3.980, p=0.347). [Conclusion] Extracorporeal TA demonstrated equivalent short-term outcomes compared with FEEA in cases of laparoscopic-assisted surgery for left-sided colon cancer. TA can be an alternative anastomosis technique in cases wherein FEEA is difficult to perform.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=443&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
| spellingShingle | Ma Bin Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in lapa roscopic-assisted surgery for left-sided colon cancer: a pro pensity score matching analysis 结直肠肛门外科 |
| title | Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in lapa roscopic-assisted surgery for left-sided colon cancer: a pro pensity score matching analysis |
| title_full | Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in lapa roscopic-assisted surgery for left-sided colon cancer: a pro pensity score matching analysis |
| title_fullStr | Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in lapa roscopic-assisted surgery for left-sided colon cancer: a pro pensity score matching analysis |
| title_full_unstemmed | Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in lapa roscopic-assisted surgery for left-sided colon cancer: a pro pensity score matching analysis |
| title_short | Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in lapa roscopic-assisted surgery for left-sided colon cancer: a pro pensity score matching analysis |
| title_sort | short term outcomes of extracorporeal colo colonic triangular anastomosis versus functional end to end anastomosis in lapa roscopic assisted surgery for left sided colon cancer a pro pensity score matching analysis |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=443&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
| work_keys_str_mv | AT mabin shorttermoutcomesofextracorporealcolocolonictriangularanastomosisversusfunctionalendtoendanastomosisinlaparoscopicassistedsurgeryforleftsidedcoloncancerapropensityscorematchinganalysis |