END-TO-SIDE EXTRACORPOREAL ANASTOMOSIS IN MINIMALLY INVASIVE RIGHT HEMICOLECTOMY: A STEP TOWARD ENHANCED RECOVERY sian-jones@hotmail.co.uk

 

END-TO-SIDE EXTRACORPOREAL ANASTOMOSIS IN MINIMALLY INVASIVE RIGHT HEMICOLECTOMY: A STEP TOWARD ENHANCED RECOVERY

4

Singapore

Oral or Poster

Background: The end-to-side extracorporeal anastomosis technique is increasingly adopted in laparoscopic right hemicolectomy, offering potential benefits in operative efficiency and postoperative recovery. This case series evaluates perioperative outcomes associated with this technique.

Methods: A retrospective analysis of 20 patients who underwent laparoscopic right hemicolectomy with end-to-side extracorporeal anastomosis was conducted. Key outcome measures included duration of surgery, postoperative C-reactive protein (CRP) levels on days 1 and 3, time to first flatus, length of hospital stay, incidence of postoperative anastomotic leaks, unplanned return to the operating theatre, and 30-day morbidity.

Results: Median CRP levels were 37mg/L on postoperative day (POD) 1 and 52 mg/L on POD 3. The median time to first flatus was 1.5 days, and the median length of stay was 3.4 days. There were no cases of postoperative anastomotic leak, no unplanned returns to theatre, and the 30-day morbidity rate was 0%.

Conclusion: The end-to-side extracorporeal anastomosis technique in laparoscopic right hemicolectomy appears to be safe and effective, with acceptable postoperative inflammatory markers, early return of bowel function, and low complication rates. Further comparative studies are warranted to validate these findings.