Laparoscopic Intracorporeal Anastomosis.

Clin Colon Rectal Surg

Division of Colon and Rectal Surgery, St Francis Hospital, Roslyn, New York.

Published: January 2023

AI Article Synopsis

  • The debate in laparoscopic surgery revolves around whether intracorporeal (ICA) or extracorporeal (ECA) anastomosis is the better technique for laparoscopic colectomy, with studies showing both methods have similar safety and efficacy.
  • Research suggests that ICA may offer additional benefits, including quicker recovery of bowel function, reduced postoperative pain, smaller incisions, and lower chances of wound infections.
  • The article also shares practical advice for performing various types of laparoscopic ICAs during laparoscopic colectomy procedures.

Article Abstract

Given the progression of laparoscopic surgery, questions continue to arise as to the ideal technique for a laparoscopic colectomy. The most debated of these questions is whether it is best to complete an intracorporeal (ICA) or extracorporeal (ECA) intestinal anastomosis. Here, we review the literature to date and report the equivalent safety and efficacy of ICA and ECA for laparoscopic right colectomy. However, these studies also indicate that when completed, ICA may prove beneficial with respect to earlier return of bowel function, less postoperative pain, shorter incision length, and reduced risk of wound infections. For this, we present the tips and tricks for completing all forms of laparoscopic ICAs during laparoscopic colectomy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9815905PMC
http://dx.doi.org/10.1055/s-0042-1758560DOI Listing

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