1. The Use of Barbed Suture for Intracorporeal Mechanical Anastomosis During a Totally Laparoscopic Right Colectomy: Is It Safe? A Retrospective Nonrandomized Comparative Multicenter Study
- Author
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Giovanni Merola, Francesco Cabras, Umberto Bracale, Francesco Corcione, Jacopo Andreuccetti, Giusto Pignata, Bracale, U., Merola, G., Cabras, F., Andreuccetti, J., Corcione, F., and Pignata, G.
- Subjects
Adult ,Male ,medicine.medical_specialty ,laparoscopy ,030230 surgery ,Anastomosis ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,right colectomy ,Retrospective Studie ,Suture Technique ,medicine ,Humans ,cancer ,Laparoscopy ,Colectomy ,Retrospective Studies ,Aged ,Aged, 80 and over ,Colonic Neoplasm ,medicine.diagnostic_test ,Sutures ,business.industry ,Suture Techniques ,Anastomosis, Surgical ,Middle Aged ,Surgery ,Multicenter study ,Barbed suture ,barbed suture ,030220 oncology & carcinogenesis ,Right Colectomy ,Colonic Neoplasms ,Female ,Postoperative Complication ,business ,V-Loc ,Human - Abstract
Background. A totally laparoscopic right colectomy could be perceived as a more challenging procedure over a laparoscopic-assisted right colectomy owing to the difficulty of intracorporeal anastomosis and the closure of the enterotomy. The aim of this study is to evaluate the safety and efficacy of the barbed auto-locking absorbable suture for the closure of an anastomotic stapler-access enterotomy during a totally laparoscopic right colectomy. Methods. From January 2010 to April 2016, data from patients who had undergone a laparoscopic right colectomy in 2 different departments of 2 institutions (the Department of General and Minimally Invasive Surgery, San Camillo Hospital in Trento and the Department of Surgical Specialties and Nephrology, University Federico II in Naples) were retrospectively analyzed. We compared the data of patients in whom the stapler-access enterotomy was closed through a conventional absorbable suture (Group A), with the data of patients in whom a stapler-access enterotomy was closed through a V-Loc 180 suture (Group B). Biometric features and intraoperative and postoperative data were collected and analyzed. Results. The 2 groups (Group A: 40 patients; Group B: 40 patients) were comparable for biometric features and postoperative outcomes. The anastomosing time was lower in Group B. A statistically significant difference was noted in the mean operative time between Groups A and B (Group A = 134.92 ± 34.17; Group B = 120.92 ± 23.27, P = .035). Only one anastomotic leakage per group was recorded, each treated with an anastomosis redo. During the reoperations, we find in both groups an intact stapler-access enterotomy. Conclusion. On retrospective analysis, barbed suture appears to be safe and efficient for closure of the stapler-access enterotomy during totally laparoscopic right colectomy.
- Published
- 2018