TY - JOUR
T1 - Best Resident Poster Award
T2 - Evaluation of anastomotic techniques for laparoscopic resection of isolated small intestine pathology
AU - Brown, Shaun R.
AU - Meyers, Jason
AU - Jenkins, Eric D.
AU - Frisella, Margaret M.
AU - Brunt, L. Michael
AU - Eagon, J. Christopher
AU - Davis, Kurt G.
AU - Matthews, Brent D.
N1 - Funding Information:
Dr. Eagon is a consultant for Ethicon Endosurgical; Dr. Brunt has received educational grants and research support from Ethicon Endosurgical , Karl Storz Endoscopy , Stryker endoscopy , Lifecell , and an honorarium for speaking from Ethicon EndoSurgery; Dr. Matthews has received consulting fees from Atrium Medical, Ethicon EndoSurgery, and the Musculoskeletal Transplant Foundation, and an honorarium for speaking from W.L. Gore. Dr. Brown, Mr. Meyers, Dr. Jenkins, Mrs. Frisella, and Dr. Davis have no conflicts of interest or financial ties to disclose.
PY - 2010/12
Y1 - 2010/12
N2 - Background: The purpose of this study was to compare perioperative outcomes for intracorporeal versus extracorporeal anastomotic techniques for isolated laparoscopic small-intestine resection. Methods A retrospective database was created for all adult patients who underwent a laparoscopic segmental small-intestine resection. Patients with inflammatory bowel disease or requiring an ileocolectomy were excluded. Results Laparoscopic resection was performed in 52 patients (ratio of men:women, 30:22) with a mean age of 47 ± 21 years. A laparoscopic intracorporeal anastomosis was performed in 30 patients (58%), and an extracorporeal anastomosis was performed in 22 patients (42%). There was no difference in mean operating room time, estimated blood loss, perioperative complication rate, or length of stay between the 2 groups. Ten patients had a complication, and 5 patients experienced a Clavien grade II or greater complication. Conclusions Laparoscopic segmental small-bowel resection using either intracorporeal or extracorporeal anastomotic techniques is equally efficacious for pathology isolated to the small bowel.
AB - Background: The purpose of this study was to compare perioperative outcomes for intracorporeal versus extracorporeal anastomotic techniques for isolated laparoscopic small-intestine resection. Methods A retrospective database was created for all adult patients who underwent a laparoscopic segmental small-intestine resection. Patients with inflammatory bowel disease or requiring an ileocolectomy were excluded. Results Laparoscopic resection was performed in 52 patients (ratio of men:women, 30:22) with a mean age of 47 ± 21 years. A laparoscopic intracorporeal anastomosis was performed in 30 patients (58%), and an extracorporeal anastomosis was performed in 22 patients (42%). There was no difference in mean operating room time, estimated blood loss, perioperative complication rate, or length of stay between the 2 groups. Ten patients had a complication, and 5 patients experienced a Clavien grade II or greater complication. Conclusions Laparoscopic segmental small-bowel resection using either intracorporeal or extracorporeal anastomotic techniques is equally efficacious for pathology isolated to the small bowel.
KW - Extracorporeal anastomosis
KW - Intracorporeal anastomosis
KW - Laparoscopy
KW - Resection
KW - Small bowel
UR - http://www.scopus.com/inward/record.url?scp=78650219953&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2010.07.033
DO - 10.1016/j.amjsurg.2010.07.033
M3 - Article
C2 - 21146032
AN - SCOPUS:78650219953
SN - 0002-9610
VL - 200
SP - 851
EP - 855
JO - American journal of surgery
JF - American journal of surgery
IS - 6
ER -