Best Resident Poster Award: Evaluation of anastomotic techniques for laparoscopic resection of isolated small intestine pathology

Shaun R. Brown, Jason Meyers, Eric D. Jenkins, Margaret M. Frisella, L. Michael Brunt, J. Christopher Eagon, Kurt G. Davis, Brent D. Matthews

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)851-855
Number of pages5
JournalAmerican journal of surgery
Volume200
Issue number6
DOIs
StatePublished - Dec 2010

Keywords

  • Extracorporeal anastomosis
  • Intracorporeal anastomosis
  • Laparoscopy
  • Resection
  • Small bowel

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