講演情報
[E2-6]Short term outcomes of intracorporeal anastomosis in robotic and laparoscopic left colectomy.
Yenchen Shao1,2, Mina Mingyin Shen1,2, William Tzuliang Chen1,2 (1.China Medical University Hsinchu Hospital, 2.China Medical University)
Background
Colo-colonic intracorporeal anastomosis (ICA) during left hemicolectomy (LH) has become a feasible option. However, its safety and efficacy remain uncertain. Therefore, this study aims to compare the short-term outcomes of ICA in laparoscopic and robotic LH.
Method
This single-center retrospective cohort study analyzed patients diagnosed with colon cancer located between the left-sided transverse colon and the descending-sigmoid junction. Eligible patients underwent ICA in laparoscopic (L-LH) or robotic left colectomy (R-LH) between January 2019 and December 2024 and met no exclusion criteria. Patients were categorized into the laparoscopic (L-ICA) and robotic (R-ICA) groups.The primary outcome measure was length of hospital stay (LOH), while the secondary outcome focused on comparing LOH among the various subgroups.
Results
A total of 93 patients were included in the final analysis (L-ICA n=66 vs R-ICA n=27). The R-ICA group was associated with significantly shorter LOH than L-ICA ( 5.1 days vs 7.2 days, p=0.02). Comparing to alternative anastomosis methods (Anti-peristaltic n=6 and Iso-peristaltic n=5), end-to-end subgroup (n=81) demonstrated significantly shorter LOH (5.6 days vs 13.2 days, p=0.045). Within the end-to-end subgroup, using the technique of staple plus suture (n=30) had significant shorter LOH than other techniques (n=51): 4.8 days vs 6.1 days, p=0.002.
Conclusion
ICA has proven to be a safe and feasible surgical option. Robotic ICA is associated with enhanced postoperative recovery, shorten length of hospital stay. End-to-end anastomosis using staple plus suture technique is associated with the shortest hospital stay, suggesting a potential benefit in optimizing patient outcomes.
Colo-colonic intracorporeal anastomosis (ICA) during left hemicolectomy (LH) has become a feasible option. However, its safety and efficacy remain uncertain. Therefore, this study aims to compare the short-term outcomes of ICA in laparoscopic and robotic LH.
Method
This single-center retrospective cohort study analyzed patients diagnosed with colon cancer located between the left-sided transverse colon and the descending-sigmoid junction. Eligible patients underwent ICA in laparoscopic (L-LH) or robotic left colectomy (R-LH) between January 2019 and December 2024 and met no exclusion criteria. Patients were categorized into the laparoscopic (L-ICA) and robotic (R-ICA) groups.The primary outcome measure was length of hospital stay (LOH), while the secondary outcome focused on comparing LOH among the various subgroups.
Results
A total of 93 patients were included in the final analysis (L-ICA n=66 vs R-ICA n=27). The R-ICA group was associated with significantly shorter LOH than L-ICA ( 5.1 days vs 7.2 days, p=0.02). Comparing to alternative anastomosis methods (Anti-peristaltic n=6 and Iso-peristaltic n=5), end-to-end subgroup (n=81) demonstrated significantly shorter LOH (5.6 days vs 13.2 days, p=0.045). Within the end-to-end subgroup, using the technique of staple plus suture (n=30) had significant shorter LOH than other techniques (n=51): 4.8 days vs 6.1 days, p=0.002.
Conclusion
ICA has proven to be a safe and feasible surgical option. Robotic ICA is associated with enhanced postoperative recovery, shorten length of hospital stay. End-to-end anastomosis using staple plus suture technique is associated with the shortest hospital stay, suggesting a potential benefit in optimizing patient outcomes.