Comparison of postoperative outcomes between hand-assisted laparoscopic and conventional sigmoidectomy: a prospective non-randomized controlled trial.
- Author:
Xiao ZHANG
1
;
Ming LI
;
Tiancheng ZHAN
;
Dakui ZHANG
;
Zhaoya GAO
;
Yunfeng YAO
;
Yifan PENG
;
Jun ZHAO
;
Jin GU
Author Information
- Publication Type:Journal Article
- MeSH: Colectomy; Disease-Free Survival; Hand-Assisted Laparoscopy; Humans; Length of Stay; Lymph Nodes; Operative Time; Postoperative Complications; Postoperative Period; Prospective Studies; Sigmoid Neoplasms; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2015;18(5):442-445
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the perioperative safety and efficacy between hand-assisted laparoscopic surgery(HALS) and conventional open sigmoidectomy.
METHODSA 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.
RESULTSThese 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.
CONCLUSIONSHALS results in similar outcomes of conventional open surgery for sigmoidectomy with the advantage of minimal invasiveness.
