Application of improved end-to-end delta-shaped anastomosis in laparoscopy-assisted left hemicolectomy

doi:10.3877/cma.j.issn.2095-3224.2018.05.014

Abstract

Abstract:

Objective

To evaluate the application of improved end-to-end delta-shaped anastomosis in laparoscopy-assisted left hemicolectomy.

Methods

From June 2015 to June 2017, retrospective analysis of sixty-two patients with clinical data of laparoscopy-assisted left hemicolectomy and improved end-to-end delta-shaped anastomosis, the data of these patients to be assessed value of this technique.

Results

Sixty-two patients were all performed by laparoscopy-assisted left hemicolectomy and improved end-to-end delta-shaped anastomosis. The average total operative time was (135.77±48.63) min; improved end-to-end delta-shaped anastomosis operative time was (9.58±1.78) min; the average bleeding volume was (43.25±20.75) ml; the average time from surgery to first flaut was (3.92±0.71) days; the average time from surgery to discharge was (6.42±2.89) days. The average number of lymph nodes were 23.55±10.85; the anastomotic fistula has two cases, the intestinal obstruction has two cases, the incision infection has one case, the abdominal incision dehiscence has two cases, there were no complications such as anastomotic bleeding and lymphatic fistula. There were three cases of Clavien-Dindo grade Ⅰ, one case of grade Ⅱ and one case of grade Ⅲb.

Conclusion

Improved end-to-end delta-shaped anastomosis is a safe and reliable digestive tract reconstruction after laparoscopy-assisted left hemicolectomy.

Key words: Colonic neoplasms, Laparoscopes, Left hemicolectomy, Improved end-to-end delta-shaped anastomosis

Tie Wang, Haitao Zhou, Fan Zhang, Yamei Han, Zhixiang Zhou. Application of improved end-to-end delta-shaped anastomosis in laparoscopy-assisted left hemicolectomy[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2018, 07(05): 476-479.

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