Chinese Clinical Oncology

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Application of improved delta-shaped anastomosis for digestive tract reconstruction in laparoscopic right hemicolectomy of colon cancer

SHI Lei,LIANG Jianwei,ZHOU Haitao,WANG Zheng,WANG Peng,ZHOU Zhixiang   

  1. Department of Colorectal Surgery,National Cancer Center/Cancer Hospital,Chinese Academy of Medical Scienses and Peking Union Medical College,Beijing 100021,China
  • Received:2017-02-03 Revised:2017-03-01 Online:2017-04-30 Published:2017-04-30
  • Contact: ZHOU Zhixiang

Abstract: Objective To evaluate the feasibility and safety of improved delta-shaped anastomosis in the process of laparoscopic right hemicolectomy for digestive tract reconstruction in patients with colon cancer. Methods From January 2013 to December 2016,one hundred and thirty-five patients were treated with laparoscopic right hemicolectomy and improved delta-shaped anastomosis,and the data of these patients were collected and analyzed to assess the value of this technique. Results One hundred and thirty-five patients were all successfully performed by laparoscopic right hemicolectomy and improved delta-shaped anastomosis. The median operation time was 140 minutes. The median blood loss was 50 ml. The median time from surgery to first flatus was 2 days and the median time from surgery to discharge was 10 days. There were no anastomotic related complications such as leakage,hemorrhage and stenosis. Conclusion Improved delta-shaped anastomosis is a safe and reliable technique for ileocolostomy and appeared to be an ideal method of digestive tract reconstruction for laparoscopic right hemicolectomy.

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