Objective: The aim of this study was to explore the clinical safety and feasibility of intracorporeal delta-shaped anastomosis in total laparoscopic left
hemicolectomy. Methods: From January 1, 2017 to October 1, 2017, 11 patients who were diagnosed with left
colon cancer and underwent total laparoscopic left
hemicolectomy with intracorporeal delta-shaped anastomosis were retrospectively enrolled in this study. Clinicopathologic characteristics, surgical and postoperative outcomes were collected and analyzed. Results: The median operation time was 121.8 minutes and the median time for anastomosis was 14.9 minutes. The median intraoperative blood loss was 45.5 ml. The lengths of the upper and lower segments of resection from
colon cancer were 11.4 cm and 8.5 cm, respectively. The median number of lymph nodes retrieved was 29.5. The median time to ground activities, time to
flatus, time to fluid diet intake and length of
hospital stay were 1.4 days, 3.0 days, 3.8 days and 6.9 days, respectively. Only one patient suffered from incision
infection during his hospitalization due to preoperative long-term smoking history. No mobility related to the anastomosis such as anastomotic
bleeding,
stenosis, obstruction and leakage occurred in any patients. Conclusion: Total laparoscopic left
hemicolectomy with intracorporeal delta-shaped anastomosis is a safe and feasible procedure with a satisfactory short-term effect.