Comparison of postoperative outcomes between hand-assisted laparoscopic and conventional sigmoidectomy：a prospective non-randomized controlled trial
10.3760/cma.j.issn.1671-0274.2015.05.010
- VernacularTitle:手辅助腹腔镜与开腹乙状结肠癌根治术疗效对比的前瞻性对照研究
- Author:
Xiao ZHANG
1
;
Ming LI
;
Tiancheng ZHAN
;
Dakui ZHANG
;
Zhaoya GAO
;
Yunfeng YAO
;
Yifan PENG
;
Jun ZHAO
;
Jin GU
Author Information
1. 100142,北京大学肿瘤医院暨北京市肿瘤防治研究所结直肠肿瘤外科 恶性肿瘤发生机制及转化研究教育部重点实验室
- Keywords:
Sigmoid colon neoplasms;
Sigmoidectomy;
Hand-assisted laparoscopy;
Treatment outcomes
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(5):442-445
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the perioperative safety and efficacy between hand-assisted laparoscopic surgery (HALS) and conventional open sigmoidectomy. Methods A total of 291 patients with sigmoid colon cancer who underwent surgery in our hospital from January 2010 to June 2013 were seperated into (HALS) group (n=200) and conventional open surgery (COS) group (n=91) with a non-randomized method. The perioperative safety and efficacy of two groups and perioperative outcomes were compared. Results These two groups were comparable in operative time, lymph node harvest, and postoperative complications. However, HALS group had less intraoperative bleeding [(57.9±28.3) ml vs. (82.5±47.6) ml, P=0.000], shorter time to flatus[(3.0±1.4) d vs. (3.3±0.9) d, P=0.000], and shorter hospital stay[(7.3±4.2) d vs. (8.9±4.4) d, P=0.004]. There werer no significant differences in overall survival time and disease-free survival time between the two groups during 6 months to 3 years follow-up. Conclusions HALS results in similar outcomes of conventional open surgery for sigmoidectomy with the advantage of minimal invasiveness.
