Hand-assisted laparoscopic colectomy:a report of 50 cases
- VernacularTitle:手助腹腔镜下结肠癌切除:附50例报告
- Publication Type:Journal Article
- Keywords: Colonic Neoplasms; Laparoscopes; Colectomy/methods
- From: Chinese Journal of General Surgery 1997;0(06):-
- CountryChina
- Language:Chinese
- Abstract: Objective To evaluate the role of using the hand-assisted laparoscopic surgery(HALS) for colectomy.Methods The data of 50 patiens with colonic cancer treated with hand-assisted laparoscopic technique between Mar 2002 and Aug 2006 were analyzed retrospectively.Results The rate of conversion from HALS to open surgery was 8.0%(4/50).The main reason for conversion was tumor invasion and large-sized tumor.The mean operation time was(163.8?15.1)min.The mean blood loss was(89.9?52.3)mL.The mean number of removed lymph nodes was(18.7?7.9).The mean length of the resected specimen was(30.1?6.1)cm.The mean postoperative hospital stay was(8.1?1.9) day and incision length was(6.9?0.1)cm.No operative death occurred.The mean time of follow-up was 18 months.No trocar site or incision recurrence was found.Conclusions These results suggest that HALS colectomy for colon cancer is mini-traumatic,has less postoperative pain and recovery is fast.