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CC BY 4.0 · Journal of Coloproctology 2024; 44(S 01): S1-S138
DOI: 10.1055/s-0045-1808803
Temas Gerais Dentro da Especialidade
General Topics Within the Specialty
ID – 141609
E-poster

BARBED VERSUS CONVENTIONAL SUTURES IN LAPAROSCOPIC-ASSISTED COLORECTAL SURGERY: A SYSTEMATIC REVIEW AND META-

Lucas Monteiro Delgado
1   Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
,
Bernardo Fontel Pompeu
2   Hospital Heliópolis, São Paulo, Brasil
,
Eric Pasqualotto
3   Universidade Federal de Santa Catarina, Florianópolis, Brazil
,
Caio Mendonça Magalhães
1   Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
,
Sergio Mazzola Poli de Figueiredo
4   Cleveland Clinic Ohio, Cleveland, Ohio, United States
,
Fernanda Bellotti Formiga
2   Hospital Heliópolis, São Paulo, Brasil
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    Introduction Minimally invasive surgery is the preferred method for treating colorectal disease. Laparoscopic suturing is complex, and barbed sutures (BS) can improve outcomes. This study compares laparoscopic colonic anastomosis using BS versus conventional sutures (CS).

    Methods PubMed, Scopus, and Cochrane Library were systematically searched for studies. Continuous outcomes were compared using mean differences (MDs), and odds ratios (ORs) for binary endpoints with 95% confidence intervals (CIs). Heterogeneity was assessed with I² statistics. Statistical analysis was performed using Software R, version 4.2.3.

    Results Four studies comprising 285 patients were included, with 143 patients (50.17%) undergoing BS. We observed a significantly reduced operative time (MD -16.25 minutes; 95% CI -25.94,-6.56; p< 0.01; I²=0%) in BS. No significant differences in intraoperative complications, anastomotic leakage, and Clavien-Dindo ≥III.

    Conclusion BS significantly reduced the operative time in the anastomotic closure. There were no significant differences in anastomotic leakage, intraoperative complications, and severe postoperative complications.


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    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    25 April 2025

    © 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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