PT - JOURNAL ARTICLE AU - MAKOTO KOSUGE AU - KEN ETO AU - RYOSUKE HASHIZUME AU - MITSUMASA TAKEDA AU - KENTA TOMORI AU - KAI NEKI AU - NORIO MITSUMORI AU - KATSUHIKO YANAGA TI - Which Is the Safer Anastomotic Method for Colon Surgery? – Ten-year Results DP - 2017 Jul 01 TA - In Vivo PG - 683--687 VI - 31 IP - 4 4099 - http://iv.iiarjournals.org/content/31/4/683.short 4100 - http://iv.iiarjournals.org/content/31/4/683.full SO - In Vivo2017 Jul 01; 31 AB - Background/Aim: In colon surgery, the anastomotic method is generally selected by surgeon's preferences or by local conditions. In this study, we retrospectively analyzed anastomotic complications to assess safe methods of anastomosis in colonic resection. Patients and Methods: We retrospectively analyzed a total of 684 cases, performed between July 2003 and June 2013 in our Hospital. Anastomosis complications, such as leakage, stricture and bleeding, were analyzed in relation to the three methods of anastomosis, hand-sewn (HS), functional end-to-end (FEEA) and triangulating anastomosis (TRI). Results: Univariate analysis indicated that the incidence of leakage was significantly lower in laparoscopic surgeries (p=0.034) and TRI (p=0.047). The results of the multivariable analysis indicated that anastomotic leakage was significantly less with TRI (p=0.029). Conclusion: In colon surgery, TRI seems to be associated with a low risk of anastomotic leakage compared to HS and FEEA.