[Feasibility and effectiveness of laparoscopic right colectomy with extracorporeal XXXX ].

@entity1 @entity254 @entity1209
AIM: Despite the laparoscopic right hemicolectomy has been validated by many randomized prospective trials, clear evidences on the validity of the totally mini-invasive technique, namely, through intracorporeal @entity254 , are still lacking. The aim of this study was the assessment of short-term outcome within three months from laparoscopic right colectomy with intra- or extra-corporeal @entity254 . METHODS: With no exclusion, all @entity1 undergoing laparoscopic right hemicolectomy at our institution have been enrolled in this study. Group A included @entity1 undergoing laparoscopic right hemicolectomy with extracorporeal @entity254 (LAC) and Group B, included @entity1 undergoing laparoscopic right hemicolectomy with intracorporeal @entity254 (TLC). @entity1 ' data, surgery details, results of postoperative period and histological tests have been prospectively recorded in a database and analysed. RESULTS: Between December 2006 and December 2008, 45 @entity1 underwent right hemicolectomy, 21 with extracorporeal @entity254 and 24 had intracorporeal ones. As to @entity1 ' characteristics and histopathological results there are no difference between the groups. Anastomotic dehiscence occurred one in group A and one in group B (P>0.05). Both @entity1 underwent reoperation. We recorded 6 @entity1209 in the LAC group and only 1 in the TLC group (P<0.05). The incidence of Non-Surgical Site Complications (NSSC) was of 4.54% in LAC group and 8.33% in TLC group (P>0.05). Hospitalization was of 5 days for both groups. CONCLUSION: In conclusion, we believe that this technique is feasible in terms of safety; it doesn't significatively affect the length of surgical procedure and guarantees maintenance of oncological radicality standards of reference. Besides it significatively improves quality of the post-operative period.
