About the author: |
E. K. Aghayev, Z. E. Ismayilova, A. B. Hasanov, S. B. Israfilova |
Heading |
CLINICAL MEDICINE |
Type of article |
Scentific article |
Annotation |
The chosen anastomotic technique plays an important role in the outcome of intestinal resections. However, there is no consensus among surgeons regarding the choice of anastomotic technique. In order to contribute to solving the problem, we conducted a clinical study that included 576 patients. We compared the results of end-to-end and side-to-side anastomoses that were performed in emergency surgeries. In both groups – in our own practice and in the retrospective group side-to-side anastomoses had better results. This can be explained by post-traumatic edema narrowing the anastomosis, separation of the intestinal wall from their mesentery at least 1.5–2 cm, and taking into the suture of the straight intramural arteries close to the suture line in end-to-end anastomoses. It can be concluded that side-to-side anastomoses are recommended during bowel resections in emergency surgery. |
Tags |
different anastomotic techniques,end to end anastomoses,side to side anastomoses,postoperative complications,anastomotic leakage |
Bibliography |
- Aghayev EK, Ismayilova ZE, Mamedov TE. Estimation of efficacy of combined application of prophylactic methods for insufficiency of the intestinal anastomoses sutures. Klinicheskaia Khirurgiia. 2019, 86(8), 9–12.https://doi.org/10.26779/2522-1396.2019.08.09
- Chen W, Zhou J, Chen M, Jiang C, Qian Q, Ding Z. Isoperistaltic side-to-side anastomosis for the surgical treatment of Crohn disease. Ann Surg Treat Res. 2022 Jul;103(1):53–61. doi: 10.4174/astr.2022.103.1.53.
- Feng JS, Li JY, Yang Z, Chen XY, Mo JJ, Li SH. Stapled side-to-side anastomosis might be benefit in intestinal resection for Crohn's disease: A systematic review and network meta-analysis. Medicine (Baltimore). 2018 Apr;97(15): e0315. doi: 10.1097/MD.0000000000010315.
- Lin SY, Liang Buan BJ, Sim W, Jain SR, Ying Chang HS, Lee KC, et al. Side-to-side versus end-to-side ileocolic anastomosis in right-sided colectomies: A cohort control study. J Minim Access Surg. 2022 Jul-Sep;18(3):408–414. doi: 10.4103/jmas.jmas_161_21.
- Liu Z, Wang G, Yang M, Chen Y, Miao D, Muhammad S, et al. Ileocolonic anastomosis after right hemicolectomy for colon cancer: functional end-to-end or end-to-side? World J Surg Oncol. 2014 Oct 7; 12:306. doi: 10.1186/1477-7819-12-306.
- Naito M, Miura H, Nakamura T, Sato T, Yamanashi T, Tsutsui A, et al. Sutureless functional end-to-end anastomosis using a linear stapler with polyglycolic acid felt for intestinal anastomoses. Ann Med Surg (Lond). 2017 Mar 31;17:50–53. doi: 10.1016/j.amsu.2017.03.037.
- Rajagopalan A, Centauri S, Antoniou E, Arachchi A, Tay YK, Chouhan H, et al. Right hemicolectomy for colon cancer: does the anastomotic configuration affect short-term outcomes? ANZ J Surg. 2023 May 31. doi: 10.1111/ans.18523.
- Rajan R, Arachchi A, Metlapalli M, Lo J, Ratinam R, Nguyen TC, et al. Ileocolic anastomosis after right hemicolectomy: stapled end-to-side, stapled side-to-side, or handsewn? Int J Colorectal Dis. 2022 Mar;37(3):673–681. doi: 10.1007/s00384-022-04102-0.
- Ross AR, Hall NJ, Ahmed SA, Kiely EM. The extramucosal interrupted end-to-end intestinal anastomosis in infants and children; a single surgeon 21 year experience. JPediatr Surg. 2016 Jul;51(7):1131–4. doi: 10.1016/j.jpedsurg.2015.11.018.
- Sánchez-Guillén L, Frasson M, García-Granero Á, Pellino G, Flor-Lorente B, Álvarez-Sarrado E. Risk factors for leak, complications and mortality after ileocolic anastomosis: comparison of two anastomotic techniques. Annals of the Royal College of Surgeons of England. 2019. 101(8), 571–578. https://doi.org/10.1308/rcsann.2019.0098
- Wang X, Ni H, Jia W, Wang S, Zhang Y, Zhao P, et all. Value of different anastomoses in laparoscopic radical right hemicolectomy for right-sided colon cancer: retrospective study and literature review. World J Surg Oncol. 2022 Sep 29;20(1):318. doi: 10.1186/s12957-022-02789-7.
- Würtz HJ, Bundgaard L, Rahr HB, Frostberg E. Anastomosis technique and leakage rates in minimally invasive surgery for right-sided colon cancer. A retrospective national cohort study. Int J Colorectal Dis. 2022 Mar;37(3):701–708. doi: 10.1007/s00384-022-04107-9.
|
Publication of the article |
«World of Medicine and Biology» №3(85), 2023 year, 007-011 pages, index UDK 616.381-089.85 |
DOI |
10.26724/2079-8334-2023-3-85-7-11 |