KEY TAKEAWAYS
- The study aimed to compare short-term outcomes of delta-shaped and FEEA in colon cancer surgery.
- The results showed that both delta-shaped and FEEA are safe reconstruction methods for colon cancer.
Several techniques, including hand-sewn and stapled anastomosis, are employed for reconstruction in colon cancer surgery.
R Ono and the team aimed to compare short-term outcomes between delta-shaped anastomosis (Delta) and functional end-to-end anastomosis (FEEA).
Researchers conducted a retrospective review of 1,314 consecutive patients who underwent colorectal surgery with either FEEA or Delta reconstruction from January 2016 to December 2023. Patients were classified into 2 groups based on the type of reconstruction: FEEA (F group; n = 1,242) and Delta (D group; n = 72).
To reduce selection bias, propensity score matching was utilized to balance covariates that could impact postoperative complications. The study compared short-term outcomes between the 2 groups.
The results demonstrated that postoperative complications occurred in 215 patients (17.3%) in the F group and 8 patients (11.1%) in the D group. Before matching, transverse colon cancer was more prevalent (P= 0.002), clinical N-positive status was less common (44.1% versus 16.7%, P< 0.001), distant metastasis was less frequent (11.7% versus 1.4%, P= 0.003), and laparoscopic approach was more common (87.8% versus 100%, P< 0.001) in the D group.
After matching, no significant differences in clinical factors were observed between groups. Blood loss was significantly lower in the D group (28 mL versus 10 mL, P= 0.002), while operation time and postoperative complication rates were similar between groups.
The study concluded that both delta-shaped and FEEA are safe methods for colon cancer reconstruction. Further research is necessary to determine the most suitable case selection for Delta and FEEA.
No funding information was given.
Source: https://pubmed.ncbi.nlm.nih.gov/39311979/
Ono R, Tominaga T, Ishii M, et al. (2024). “Short-term outcomes of delta-shaped anastomosis versus functional end-to-end anastomosis using linear staplers for colon cancer.” Tech Coloproctol. 2024;28(1):131. Published 2024 Sep 23. doi:10.1007/s10151-024-03006-1
