The safety of intracorporeal anastomoses after right colectomy during the learning curve

Abstract

Objective: to asses safety of installation intracorporeal anastomosis (ICA) in routine practice at learning curve period.Materials and methods. The results of treatment of 102 patients during 2019 were retrospectively analyzed, of which 64 were operated by an expert and 38 passing the ICA learning curve.Results. The operation time was shorter for the expert (145 minutes versus 210 minutes, p <0.05), there was no statistical difference in pathomorphological measurements, the number of lymph nodes removed was oncologically acceptable and did not differ significantly in the two groups. The total number of complications was 25.2 % for all patients, and Clavien–Dindo class IIIB complication rate was also the same (3.2 % vs 2.6 %, p >0.05).Conclusions. The introduction of ICA in right colectomy into routine practice at the stage of passing the learning curve is safe and applicable.

Keywords

• intracorporeal anastomosis
• laparoscopic right-sided hemicolectomy
• learning curve