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Comparing short-time outcomes of three-dimensional and two-dimensional totally laparoscopic surgery for colon cancer using overlapped delta-shaped anastomosis

Authors Su H, Jin W, Wang P, Bao M, Wang X, Zhao C, Wang X, Zhou Z, Zhou H

Received 14 September 2018

Accepted for publication 10 December 2018

Published 18 January 2019 Volume 2019:12 Pages 669—675

DOI https://doi.org/10.2147/OTT.S187535

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Justinn Cochran

Peer reviewer comments 4

Editor who approved publication: Dr Sanjeev Srivastava


Hao Su,1,* Weisen Jin,2,* Peng Wang,1 Mandula Bao,1 Xuewei Wang,1 Chuanduo Zhao,1 Xishan Wang,1 Zhixiang Zhou,1 Haitao Zhou1

1Department of Colorectal Surgery, National Cancer Center, National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang District, Beijing 100021, People’s Republic of China; 2Department of Anorectal Diseases, General Hospital of Chinese Armed Police Forces, Haidian District, Beijing 100039, People’s Republic of China

*These authors contributed equally to this work

Purpose: Overlapped delta-shaped anastomosis is a newly developed intracorporeal procedure in totally laparoscopic surgery for colon cancer. We explored the safety and efficacy of three-dimensional (3D) totally laparoscopic surgery for colon cancer using overlapped anastomosis and compared its short-term outcomes with those of two-dimensional (2D) surgery.
Materials and methods: From January 2016 to March 2018, 97 colon cancer patients were grouped into the 3D group (43 patients) and the 2D group (54 patients); they underwent totally laparoscopic surgery for colon cancer using overlapped anastomosis by 3D and 2D laparoscopy, respectively. Data regarding the clinical characteristics, surgical and pathological outcomes, postoperative recovery and complications were collected and compared.
Results: These two groups were well balanced in terms of age, gender, body mass index, American Society of Anesthesiologists scores, previous abdominal operation history and preoperative chemotherapy (P>0.05). The overall operation time, intraoperative blood loss and removal method of the specimen were similar between groups (P>0.05), but the anastomosis time was significantly shorter in the 3D group than that in the 2D group (P=0.004). There were no differences in terms of pathological outcomes, postoperative recovery and the postoperative complication rates between the groups (P>0.05). Moreover, no mobility related to the anastomosis, such as anastomotic bleeding, stenosis or leakage, occurred in any patient.
Conclusion: 3D totally laparoscopic surgery for colon cancer using overlapped delta-shaped anastomosis is safe and effective, with satisfactory short-term outcomes. In addition, it is less time-consuming than 2D surgery regarding the overlapped anastomosis procedure.

Keywords: minimally invasive surgery, three-dimensional laparoscopy, intracorporeal anastomosis, colon neoplasms

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