Title |
Single-layer versus double-layer closure of the enterotomy in laparoscopic right hemicolectomy with intracorporeal anastomosis: a single-center study
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Published in |
Techniques in Coloproctology, October 2015
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DOI | 10.1007/s10151-015-1378-2 |
Pubmed ID | |
Authors |
S. Reggio, A. Sciuto, D. Cuccurullo, F. Pirozzi, F. Esposito, D. Cusano, F. Corcione |
Abstract |
The aim of our study was to evaluate the short-term outcomes of totally laparoscopic right colectomy, in particular to compare the incidence of leakage of the ileocolic anastomosis after either single-layer (SL) or double-layer (DL) enterotomy closure. From March 2010 to July 2014, 162 patients underwent laparoscopic right colectomy with intracorporeal ileocolic anastomosis. The enterotomy was closed with either SL (77 patients) or DL technique (85 patients). Short-term outcomes in both groups were retrospectively analyzed. Median time to perform the ileocolic anastomosis was similar in the two groups (17 min in SL versus 20 min in DL, p = 0.109). DL closure was associated with a significantly lower incidence of anastomotic leakage (1.2 % in DL vs 7.8 % in SL, p = 0.044). Shorter hospital stay was also observed in the DL group. Adoption of DL closure of the enterotomy resulted in significantly improved outcome. We strongly recommend a double-layer closure technique when performing an intracorporeal enterocolic anastomosis. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 1 | 17% |
United States | 1 | 17% |
Unknown | 4 | 67% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 50% |
Science communicators (journalists, bloggers, editors) | 2 | 33% |
Scientists | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 34 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 6 | 18% |
Other | 5 | 15% |
Student > Master | 4 | 12% |
Professor | 3 | 9% |
Student > Ph. D. Student | 2 | 6% |
Other | 4 | 12% |
Unknown | 10 | 29% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 17 | 50% |
Agricultural and Biological Sciences | 2 | 6% |
Economics, Econometrics and Finance | 1 | 3% |
Unknown | 14 | 41% |