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A standardized stepwise approach to minimally invasive ileocolic anastomosis: Tips and tricks for laparoscopic and robotic surgery
Aim 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...
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Published in: | Colorectal disease 2022-10, Vol.24 (10), p.1238-1242 |
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container_title | Colorectal disease |
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creator | Solís‐Peña, Alejandro Cirera, Arturo Kraft Carré, Miquel Pellino, Gianluca Espín‐Basany, Eloy |
description | Aim
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.
Method
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.
Results
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.
Conclusion
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. |
doi_str_mv | 10.1111/codi.16159 |
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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.
Method
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.
Results
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.
Conclusion
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.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.16159</identifier><identifier>PMID: 35460173</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Anastomosis ; Anastomosis, Surgical - methods ; Colectomy - methods ; Colonic Neoplasms - surgery ; Complications ; Humans ; ileocolic anastomosis ; intracorporeal anastomosis ; laparoscopic approach ; Laparoscopy ; Laparoscopy - methods ; Length of stay ; Operative Time ; Patients ; Postoperative ; Retrospective Studies ; robotic approach ; Robotic surgery ; Robotic Surgical Procedures ; Robotics ; Surgical site infections ; Technical Note ; Technical Notes ; Treatment Outcome</subject><ispartof>Colorectal disease, 2022-10, Vol.24 (10), p.1238-1242</ispartof><rights>2022 The Authors. published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.</rights><rights>2022 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4079-700da560e94e3d545233891b65cd83ea3fdb7fee321f1ee932721028f8d78e1c3</cites><orcidid>0000-0002-5642-1694 ; 0000-0001-5536-9559 ; 0000-0002-4972-5315 ; 0000-0002-9139-4548 ; 0000-0002-8322-6421</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35460173$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Solís‐Peña, Alejandro</creatorcontrib><creatorcontrib>Cirera, Arturo</creatorcontrib><creatorcontrib>Kraft Carré, Miquel</creatorcontrib><creatorcontrib>Pellino, Gianluca</creatorcontrib><creatorcontrib>Espín‐Basany, Eloy</creatorcontrib><title>A standardized stepwise approach to minimally invasive ileocolic anastomosis: Tips and tricks for laparoscopic and robotic surgery</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim
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.
Method
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.
Results
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.
Conclusion
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.</description><subject>Anastomosis</subject><subject>Anastomosis, Surgical - methods</subject><subject>Colectomy - methods</subject><subject>Colonic Neoplasms - surgery</subject><subject>Complications</subject><subject>Humans</subject><subject>ileocolic anastomosis</subject><subject>intracorporeal anastomosis</subject><subject>laparoscopic approach</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Length of stay</subject><subject>Operative Time</subject><subject>Patients</subject><subject>Postoperative</subject><subject>Retrospective Studies</subject><subject>robotic approach</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures</subject><subject>Robotics</subject><subject>Surgical site infections</subject><subject>Technical Note</subject><subject>Technical Notes</subject><subject>Treatment Outcome</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp9kU1vFSEUhonR2Frd-AMMiRtjMpUD8wEumjTXryZNuqlrwoUzLZUZRpi5zXXpL5feWxt1IRsO8OTJObyEvAR2DGW9s9H5Y2ihUY_IIdStqECAfLyreSUVsAPyLOcbxqDtQD4lB6KpWwadOCQ_T2mezehMcv4HunLA6dZnpGaaUjT2ms6RDn70gwlhS_24MdlvkPqA0cbgLTWjyXMcYvb5Pb30Uy43js7J22-Z9jHRYCaTYrZx2tGOpriOc6nzkq4wbZ-TJ70JGV_c70fk66ePl6sv1fnF57PV6Xlla9apqmPMmaZlqGoUrqkbLkSZbd021kmBRvRu3fWIgkMPiErwjgPjspeukwhWHJGTvXda1gM6i-OcTNBTKrOlrY7G679fRn-tr-JGq04xrngRvLkXpPh9wTzrwWeLIZgR45I1b5uaK8mULOjrf9CbuKSxjKdLW0VXF1-h3u4pW_4nJ-wfmgGm76LVd9HqXbQFfvVn-w_o7ywLAHvgtoSz_Y9Kry4-nO2lvwCW9rH4</recordid><startdate>202210</startdate><enddate>202210</enddate><creator>Solís‐Peña, Alejandro</creator><creator>Cirera, Arturo</creator><creator>Kraft Carré, Miquel</creator><creator>Pellino, Gianluca</creator><creator>Espín‐Basany, Eloy</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5642-1694</orcidid><orcidid>https://orcid.org/0000-0001-5536-9559</orcidid><orcidid>https://orcid.org/0000-0002-4972-5315</orcidid><orcidid>https://orcid.org/0000-0002-9139-4548</orcidid><orcidid>https://orcid.org/0000-0002-8322-6421</orcidid></search><sort><creationdate>202210</creationdate><title>A standardized stepwise approach to minimally invasive ileocolic anastomosis: Tips and tricks for laparoscopic and robotic surgery</title><author>Solís‐Peña, Alejandro ; Cirera, Arturo ; Kraft Carré, Miquel ; Pellino, Gianluca ; Espín‐Basany, Eloy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4079-700da560e94e3d545233891b65cd83ea3fdb7fee321f1ee932721028f8d78e1c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anastomosis</topic><topic>Anastomosis, Surgical - methods</topic><topic>Colectomy - methods</topic><topic>Colonic Neoplasms - surgery</topic><topic>Complications</topic><topic>Humans</topic><topic>ileocolic anastomosis</topic><topic>intracorporeal anastomosis</topic><topic>laparoscopic approach</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Length of stay</topic><topic>Operative Time</topic><topic>Patients</topic><topic>Postoperative</topic><topic>Retrospective Studies</topic><topic>robotic approach</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures</topic><topic>Robotics</topic><topic>Surgical site infections</topic><topic>Technical Note</topic><topic>Technical Notes</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Solís‐Peña, Alejandro</creatorcontrib><creatorcontrib>Cirera, Arturo</creatorcontrib><creatorcontrib>Kraft Carré, Miquel</creatorcontrib><creatorcontrib>Pellino, Gianluca</creatorcontrib><creatorcontrib>Espín‐Basany, Eloy</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Solís‐Peña, Alejandro</au><au>Cirera, Arturo</au><au>Kraft Carré, Miquel</au><au>Pellino, Gianluca</au><au>Espín‐Basany, Eloy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A standardized stepwise approach to minimally invasive ileocolic anastomosis: Tips and tricks for laparoscopic and robotic surgery</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2022-10</date><risdate>2022</risdate><volume>24</volume><issue>10</issue><spage>1238</spage><epage>1242</epage><pages>1238-1242</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Aim
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.
Method
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.
Results
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.
Conclusion
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.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35460173</pmid><doi>10.1111/codi.16159</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-5642-1694</orcidid><orcidid>https://orcid.org/0000-0001-5536-9559</orcidid><orcidid>https://orcid.org/0000-0002-4972-5315</orcidid><orcidid>https://orcid.org/0000-0002-9139-4548</orcidid><orcidid>https://orcid.org/0000-0002-8322-6421</orcidid><oa>free_for_read</oa></addata></record> |
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source | Wiley-Blackwell Read & Publish Collection |
subjects | Anastomosis Anastomosis, Surgical - methods Colectomy - methods Colonic Neoplasms - surgery Complications Humans ileocolic anastomosis intracorporeal anastomosis laparoscopic approach Laparoscopy Laparoscopy - methods Length of stay Operative Time Patients Postoperative Retrospective Studies robotic approach Robotic surgery Robotic Surgical Procedures Robotics Surgical site infections Technical Note Technical Notes Treatment Outcome |
title | A standardized stepwise approach to minimally invasive ileocolic anastomosis: Tips and tricks for laparoscopic and robotic surgery |
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