Top

Published in:

01-11-2010

The handsewn anastomosis after colon resection due to colonic cancer

Authors: M. G. Pramateftakis, G. Vrakas, P. Hatzigianni, T. Tsachalis, I. Matzoros, E. Christoforidis, D. Raptis, G. Roidos, C. Lazaridis

Published in: Techniques in Coloproctology | Special Issue 1/2010

Abstract

Aim

The purpose of our study is to present the results of the handsewn single-layer interrupted extramucosal anastomosis following colon cancer.

Patients and methods

In the period between 1989 and 2009, 276 intestinal anastomoses were fashioned following colon resection using single-layer interrupted extramucosal 3/0 Vicryl.

Results

The mean hospital stay was 8.2 days. Twenty-three patients had postoperative complications, and the total morbidity was 8.3%. Seven anastomotic leakages occurred (2.5%). The mortality rate was 2.5%.

Conclusion

The single-layer anastomosis with interrupted extramucosal sutures after colon resection is safe and effective.

Kanellos I (1984) Dissertation. Berlin

Matheson NA, McIntosh CA, Krukowski ZH (1985) Continuing experience with single layer appositional anastomosis in the large bowel. Br J Surg 72:104–106CrossRef

Burch JM, Franciose RJ, Moore EE et al (2000) Single-layer continuous versus two layer interrupted intestinal anastomosis. Ann Surg 231:832–837CrossRefPubMed

Sutton CD, Marshall LJ, Williams N et al (2004) Colo-rectal anastomotic leakage often masquerades as a cardiac complication. Colorectal Dis 6:21–22CrossRefPubMed

Leslie A, Steele RJC (2003) The interrupted serosubmucosal anastomosis-still the gold standard. Colorectal Dis 5:362–366CrossRefPubMed

Da Silva Lustosa SA, Matos D, Atallah AN, Castro AA (2002) Stapled versus handsewn methods for colorectal anastomosis surgery: a systematic review of randomized controlled trials. Sao Paul Med/Rev Paul Med 120:132–136

Title: The handsewn anastomosis after colon resection due to colonic cancer
Authors: M. G. Pramateftakis
G. Vrakas
P. Hatzigianni
T. Tsachalis
I. Matzoros
E. Christoforidis
D. Raptis
G. Roidos
C. Lazaridis
Publication date: 01-11-2010
Publisher: Springer Milan
Published in: Techniques in Coloproctology / Issue Special Issue 1/2010
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-010-0612-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The handsewn anastomosis after colon resection due to colonic cancer

Abstract

Aim

Patients and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Patients and methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Special Issue 1/2010

Our criteria for PPH procedure in one day surgery practice

The role of hemorrhoidopexy in the management of 3rd degree hemorrhoids

Laparoscopic sigmoidectomy for colon cancer

Progress in rectal cancer staging and treatment

Retractile mesenteritis appearing as a sigmoid colon tumor

Prospective clinical trial comparing sphincterotomy, nitroglycerin ointment and xylocaine/lactulose combination for the treatment of anal fissure