A standardized stepwise approach to minimally invasive ileocolic anastomosis : Tips and tricks for laparoscopic and robotic surgery
Solís-Peña, Alejandro (Hospital Universitari Vall d'Hebron)
Cirera de Tudela, Arturo (Hospital Universitari Vall d'Hebron)
Kraft Carré, Miquel (Hospital Universitari Vall d'Hebron)
Pellino, Gianluca (Hospital Universitari Vall d'Hebron)
Espin-Basany, Eloy (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Data:	2022
Resum:	Intracorporeal anastomosis has been associated with earlier recovery of postoperative bowel function, shorter length of stay and lower surgical site infection rates. The aim of this work is to describe a step-by-step standardized technique for intracorporeal ileocolic and ileosigmoid anastomosis suitable for laparoscopic and robotic colectomy. Each step of the technique is illustrated using a composite collection of three operative patient videos. Two procedures were performed robotically and one was laparoscopic. Tips are provided to construct a two-layer anastomosis (both posteriorly and anteriorly). The procedures are presented in stepwise fashion, discussing the advantages and feasibility of the technique. The standardized technique described herein was used in three patients for this report, of whom two underwent right colectomy and one subtotal colectomy for cancer. The median operating time was 255 (206-333) min. There were no intraoperative complications. No major postoperative complications or 30-day readmissions occurred. The median length of stay was 4 (3-5) days. The described technique of a two-layer anastomosis can be used with any available minimally invasive approach. It is safe and feasible. Using a standardized approach, the technique can be easily taught and mastered, optimizing operating times and reducing adverse events.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Ileocolic anastomosis ; Intracorporeal anastomosis ; Laparoscopic approach ; Robotic approach
Publicat a:	Colorectal Disease, Vol. 24 (may 2022) , p. 1238-1242, ISSN 1463-1318

DOI: 10.1111/codi.16159
PMID: 35460173

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