Hand-assisted total colectomy: a safe alternative

• Type: Article in International Scientific Journal
• Date: 2009

Authors

Santos, MD (Author) Other; Silva, D (Author) Other; Nogueira, C (Author) Other

Journal

Title: European Surgery - Acta Chirurgica Austriaca

Vol. 41

Pages: 109-115

ISSN: 1682-8631

Publisher: Springer Nature

Indexing

ISI Web of Knowledge - 1 Citation

Scopus - 1 Citation

Other information

Authenticus ID: P-003-K04

DOI: 10.1007/s10353-009-0464-y

Abstract (EN): BACKGROUND: Our Department has been performing laparoscopic surgery for colorectal disease since 1998. More recently, we have introduced hand-assisted procedures in selected patients. The purpose of this study is to analyze our results with hand-assisted laparoscopic surgery in total colectomy. METHODS: A consecutive series of patients undergoing hand-assisted laparoscopic total colectomy were analyzed from prospectively collected data from October 2003 to October 2008. All the procedures were performed by a single surgeon. Twenty one patients underwent hand-assisted total colectomies: nine females and twelve females, with mean age of 43.6 years (range 17-72). Indications included: attenuated familial adenomatous polyposis (15), colon cancer in Lynch syndrome (5) and colonic inertia (1). Six patients had prior abdominal surgery. Results regarding time of operation and post-operative hospital stay were then compared against data from open and regular laparoscopic surgery occurred at same period. The Kruskal-Wallis test with a significance level of 0.05 was adopted. RESULTS: HALS median surgery time was decreased by 110 min (range 210-320; p < 0.001) when compared to laparoscopic surgery times. No statistical significant changes were found between HALS and open surgery. Regarding post-operative hospital stay, when comparing HALS with open surgery, median length shortens by 4 days (p < 0.001). No significant differences were found when comparing HALS with laparoscopic total colectomy. CONCLUSIONS: Hand-assisted laparoscopic total colectomy combines the advantages of laparoscopic-assisted surgery regarding post-operative stay, when compared to open surgery, with reduction of the operative time to that of open surgery.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 7