AB188. SOH25_AB_233. A comparative analysis of end-to-side versus side-to-side anastomosis in right hemicolectomy: a retrospective cohort study
General Posters I

AB188. SOH25_AB_233. A comparative analysis of end-to-side versus side-to-side anastomosis in right hemicolectomy: a retrospective cohort study

Muhammad Haseeb Tauseef Bokhari, Caroline Kithuka, Aleena Chinoy, Saqib Zeeshan

Department of Surgery, Letterkenny University Hospital, Letterkenny, Donegal, Ireland

Background: Right hemicolectomy is a cornerstone procedure for managing right-sided colonic pathologies, where the configuration of the anastomosis profoundly impacts postoperative outcomes. The two most commonly employed techniques—end-to-side (ETS) and side-to-side (STS) anastomosis—present distinct anatomical and physiological considerations. This retrospective cohort study aimed to compare ETS and STS anastomosis in right hemicolectomy.

Methods: We conducted a retrospective comparative audit of outcomes following end to side and side to side anastomosis.

Results: We analysed data from 90 patients. Analysis of the postoperative complications revealed the STS group exhibited significantly higher anastomotic leak rates compared to ETS group (12.5% versus 0%). Anastomotic bleed rates were observed to be higher in the STS group (9.37% versus 8.62%). The incidence of wound infection rates, postoperative ileus, and the rate of lower respiratory tract infection were also observed to be higher in the STS group, contributing to increased morbidity.

Conclusions: These findings, supported by both current literature and real-world clinical data, add robust evidence to favour ETS as the preferred technique. Our study builds upon earlier controlled trials while introducing new insights from a broader clinical context. Despite limitations inherent to its retrospective nature and confounders, this study provides significant evidence favouring ETS for enhanced surgical outcomes in right hemicolectomy.

Keywords: Right hemicolectomy; end-to-side (ETS); side-to-side (STS); leak rate; complications

Acknowledgments

None.

Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-25-ab188
Cite this abstract as: Bokhari MHT, Kithuka C, Chinoy A, Zeeshan S. AB188. SOH25_AB_233. A comparative analysis of end-to-side versus side-to-side anastomosis in right hemicolectomy: a retrospective cohort study. Mesentery Peritoneum 2025;9:AB188.

Article Options

Download Citation

Share