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Short- and long-term outcomes of laparoscopic surgery with extracorporeal anastomosis for transverse colon cancer: comparison of triangulating anastomosis with functional end-to-end anastomosis

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Abstract

Background

We compared triangulating anastomosis (TRI) with functional end-to-end anastomosis (FEEA) in terms of patient demographics, clinicopathological features, and short- and long-term outcomes in this study.

Methods

From November 2005 to May 2016, 315 patients with transverse colon cancer underwent laparoscopic resection. TRI was performed in 62 patients and FEEA in 253 patients. Patients with another concomitant cancer, who received neoadjuvant chemotherapy, and/or who underwent another operation at the same time were excluded.

Results

The patients’ backgrounds were comparable in each group. Transverse colectomy was selected more frequently in TRI and right hemicolectomy in FEEA. The operation time was shorter in TRI. The rate of anastomotic leakage was comparable (1.6% in TRI vs. 0.8% in FEEA). Stricture was more common in TRI (8.1% vs. 0%) and bleeding was more common in FEEA (1.6% vs. 10.6%). The rate of long-term complications was comparable in each group. Overall survival of stage 0–III patients was comparable in each group (94.7% in TRI vs. 93.7% in FEEA). 5-year disease-free survival of stage 0–III, stage II, and stage III patients was also comparable in each group (94.8% vs. 93.0%, 100% vs. 92.1%, and 80.3% vs. 79.2% in TRI and FEEA, respectively).

Conclusion

The short- and long-term outcome rates were acceptable in both groups. Specific attempts to prevent complications are required for each anastomotic procedure.

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Acknowledgements

We thank John Holmes, MSc, from Edanz Group (https://en-author-services.edanz.com/ac) for editing a draft of this manuscript.

Funding

No funding source of this study exists.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan

    Shin Emoto, Yosuke Fukunaga, Ryota Nakanishi, Kazuyoshi Hirayama, Tomoyuki Nagaoka, Shimpei Matsui, Toshiki Mukai, Toshiya Nagasaki, Tomohiro Yamaguchi, Takashi Akiyoshi & Satoshi Nagayama

  2. Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Tsuyoshi Konishi

  3. Department of Colorectal Surgery, Toranomon Hospital, Tokyo, Japan

    Masashi Ueno

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  1. Shin Emoto
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  2. Yosuke Fukunaga
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  3. Ryota Nakanishi
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  4. Kazuyoshi Hirayama
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  5. Tomoyuki Nagaoka
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  9. Tomohiro Yamaguchi
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  12. Satoshi Nagayama
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  13. Masashi Ueno
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Corresponding author

Correspondence to Yosuke Fukunaga.

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Disclosures

Shin Emoto, Yosuke Fukunaga, Ryota Nakanishi, Kazuyoshi Hirayama, Tomoyuki Nagaoka, Shimpei Matsui, Toshiki Mukai, Toshiya Nagasaki, Tomohiro Yamaguchi, Takashi Akiyoshi, Tsuyoshi Konishi, Satoshi Nagayama, and Masashi Ueno have no conflict of interest or financial ties to disclose.

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Emoto, S., Fukunaga, Y., Nakanishi, R. et al. Short- and long-term outcomes of laparoscopic surgery with extracorporeal anastomosis for transverse colon cancer: comparison of triangulating anastomosis with functional end-to-end anastomosis. Surg Endosc 36, 3261–3269 (2022). https://doi.org/10.1007/s00464-021-08638-0

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  • DOI: https://doi.org/10.1007/s00464-021-08638-0

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