Table 1 Shows baseline characteristics of the included participants
Cases | Age | Gender | Indication | ASA | BMI | Preoperative colonoscopy findings | Performed operation | Operative time | Type of anastomosis | Level of anastomosis |
|---|---|---|---|---|---|---|---|---|---|---|
Case 1 | 45 | Male | Perforated sigmoid diverticulitis with 4-quadrant purulent peritonitis | 1 | 23 | Non | Open segmental sigmoid colectomy | 195 min | End to end, 31 mm double-stapling technique | At sacral promontory |
Case 2 | 55 | Male | Sigmo-vesical fistula | 2 | 25 | Fistula by 30 cm above the anorectal junction | Laparoscopic segmental sigmoid colectomy + defect repair at the urinary bladder | 200 min | End to end, 31 mm double-stapling technique | Just below the sacral promontory |
Case 3 | 84 | Male | Sigmoid cancer | 3 | 19 | Sigmoid cancer by 35 cm above the anorectal junction | Laparoscopic oncologic high anterior resection | 210 min | End to end, 31 mm double-stapling technique | Just below the sacral promontory |
Case 4 | 81 | Female | Hartmann reversal, post-open sigmoidectomy by perforation | 3 | 27 | Rectum stump by 14 cm | Open Hartmann reversal | 160 min | End to end, 25 mm double-stapling technique | Just below the sacral promontory |
Case 5 | 70 | Female | Chronic recurrent sigmoid diverticulitis | 2 | 28 | Sigmoid diverticulosis | Laparoscopic segmental high anterior rectum resection | 192 min | End to end, 31 mm double-stapling technique | Just below sacral promontory |
Case 6 | 82 | Female | Sigmoid cancer | 3 | 31 | Rectosigmoid cancer 15 cm above the anorectal junction | Open oncologic high anterior resection | 204 min | End to end, 31 mm double-stapling technique | Just below sacral promontory |
Case 7 | 80 | Female | Hartmann reversal, post-debulking op by peritoneal carcinomatosis by ovarian cancer | 3 | 18 | Rectum stump by 14 cm | Open Hartmann reversal, ileum segment resection | 213 min | End to end, 25 mm double-stapling technique | Just below sacral promontory |
Case 8 | 59 | Male | Sigmoid stenosis by peritoneal metastasis of gastric cancer | 2 | 26 | Sub-obstructing sigmoid metastasis 35 cm ab anal verge | Open debulking surgery, oncologic sigmoid colectomy, 4 cm segmental resection of the ileum | Side to end handsewn anastomosis | At sacral promontory | |
Cases | Estimated blood loss (ml) | Intraoperative air leak test | Removal of hidden ileostomy | Postoperative coloscopy | Pathology | Neoadjuvant therapy | Loop related complication | Anastomotic leak | Hospital stay |
|---|---|---|---|---|---|---|---|---|---|
Case 1 | 200 | No leak | On OPD 8 | Wide | Benign | No | No | No | 10 |
Case 2 | 200 | No leak | On OPD 9 | Wide | Benign | No | No | No | 11 |
Case 3 | 100 | No leak | On OPD 8 | Wide | Cancer, pT3 pN0 (0/14) L0 VO R0 cM0 | No | No | No | 10 |
Case 4 | 500 | No leak | On OPD 8 | Wide | Benign | No | No | No | 10 |
Case 5 | 100 | No leak | On OPD 7 | Wide | Benign | No | No | No | 10 |
Case 6 | 500 | No leak | On OPD 10 | Anastomosis by 13 cm | Cancer, pT2 pN1b (3/12) L1 VO R0 cM0 | No | No | Yes, on a postoperative day, 10 | 28 |
Case 7 | 300 | No leak | On OPD 9 | Not done | Limited peritoneal carcinomatosis | No | No | No | 16 |
Case 8 | 700 | No leak | On operative day 9 | Not done | Peritoneal carcinomatosis by gastric cancer | Yes, for gastric cancer, gastrectomy on 11.2016 | No | No | 17 |