Intracorporeal Anastomosis Cuts Incisional Hernia Risk in Laparoscopic Surgery
Intracorporeal ileocolic anastomosis (ICA) significantly reduces incisional hernia rates in laparoscopic right hemicolectomy compared to extracorporeal anastomosis (ECA). Despite a longer mean operative time (190 vs. 170 minutes), the 24-month hernia incidence plummeted to 1.2% with ICA versus 14.7% with ECA. Patients also benefited from shorter hospital stays and fewer wound complications, solidifying ICA’s advantage despite its technical demands.
A Japanese randomized trial found that a 14-day schedule of trifluridine-tipiracil plus bevacizumab keeps patients with metastatic colorectal cancer alive as long as the standard 28-day schedule, with far less toxicity.
Five years after surgery for low rectal cancer, patients operated on robotically did as well as those operated on laparoscopically, according to a randomized trial from three Korean centres.
