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    • Intracorporial Anastomosis for Laparoscopic Right Hemicolectomy: Is it comparable to Extracorporial Anastomosis?

    Mahmoud Farghaly, MD Ahmed Morad, MD Tarek Youssef, MD, MRCS, FACS
    Colorectal Unit, Department of General Surgery, Ain Shams University, Cairo, Egypt

    Background: Intracorporial anastomosis (ICA) after laparoscopic right hemicolectomy for Rt side colonic cancer has advantages of less traction on mesentery, freedom to choose the extraction site. Aim of the study: To evaluate the feasibility of ICA after laparoscpic Rt hemicolectomy for Rt side colonic cancer and to compare short term complications between this technique and extracorporeal anastomosis (ECA). Patients and methods: From April 2015 to March 2017, 42 patients with Rt side cancer colon participated in this study. After laparoscopic Rt hemicolectomy was done ileo-coloic anastomosis was done by ICA in 19 patients and by ECA in 23 patients. Short term complications included (bleeding, paralytic ileus, anstomositic leakage and wound infection), time of surgery and sites of specimen extraction were compared in both techniques. Results: There were significant differences in the short term complications between both techniques. Time of surgery was significantly longer in ICA (172.54±34.2 min) than ECA (136.26±31.8 min). Conclusion: ICA after Rt hemicoloectomy for Rt side colonic cancer is feasible and has short term complications similar to ECA, with the advantage of freedom to choose the extraction site of the specimen. 

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