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Hand-assisted total colectomy: a safe alternative
Summary 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 colecto...
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| Published in: | European surgery 2009-06, Vol.41 (3), p.109-115 |
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| Main Authors: | , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c288t-a91d8362c5d393ea9151d92c86b804cdd2a962c666991f6f6c9c26bac8f5c2303 |
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| cites | cdi_FETCH-LOGICAL-c288t-a91d8362c5d393ea9151d92c86b804cdd2a962c666991f6f6c9c26bac8f5c2303 |
| container_end_page | 115 |
| container_issue | 3 |
| container_start_page | 109 |
| container_title | European surgery |
| container_volume | 41 |
| creator | Santos, M. D. Silva, D. Nogueira, C. |
| description | Summary
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;
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| doi_str_mv | 10.1007/s10353-009-0464-y |
| format | article |
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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.</description><identifier>ISSN: 1682-8631</identifier><identifier>EISSN: 1682-4016</identifier><identifier>DOI: 10.1007/s10353-009-0464-y</identifier><language>eng</language><publisher>Vienna: Springer-Verlag</publisher><subject>Abdominal Surgery ; Cardiac Surgery ; General Surgery ; Medicine ; Medicine & Public Health ; Original Scientific Paper ; Surgery ; Vascular Surgery</subject><ispartof>European surgery, 2009-06, Vol.41 (3), p.109-115</ispartof><rights>Springer-Verlag 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c288t-a91d8362c5d393ea9151d92c86b804cdd2a962c666991f6f6c9c26bac8f5c2303</citedby><cites>FETCH-LOGICAL-c288t-a91d8362c5d393ea9151d92c86b804cdd2a962c666991f6f6c9c26bac8f5c2303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Santos, M. D.</creatorcontrib><creatorcontrib>Silva, D.</creatorcontrib><creatorcontrib>Nogueira, C.</creatorcontrib><title>Hand-assisted total colectomy: a safe alternative</title><title>European surgery</title><addtitle>Eur Surg</addtitle><description>Summary
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.</description><subject>Abdominal Surgery</subject><subject>Cardiac Surgery</subject><subject>General Surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Scientific Paper</subject><subject>Surgery</subject><subject>Vascular Surgery</subject><issn>1682-8631</issn><issn>1682-4016</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp9j89OwzAMhyMEEmPwANz6AgE7abOEG5qAIU3iAucoyx_UqWtRHJD69nTqzjvZ1s-f5Y-xe4QHBFg9EoJsJAcwHGpV8_GCLVBpwWtAdXnqtZJ4zW6I9gBoGlwtGG5cH7gjaqnEUJWhuK7yQxd9GQ7jU-UqcilWrisx9660f_GWXSXXUbw71SX7en35XG_49uPtff285V5oXbgzGLRUwjdBGhmnscFghNdqp6H2IQhnplQpZQwmlZQ3Xqid8zo1XkiQS4bzXZ8HohyT_cntweXRItijs52d7eRsj852nBgxMzTt9t8x2_3wO_3d0RnoHzHyWak</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Santos, M. D.</creator><creator>Silva, D.</creator><creator>Nogueira, C.</creator><general>Springer-Verlag</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20090601</creationdate><title>Hand-assisted total colectomy: a safe alternative</title><author>Santos, M. D. ; Silva, D. ; Nogueira, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c288t-a91d8362c5d393ea9151d92c86b804cdd2a962c666991f6f6c9c26bac8f5c2303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdominal Surgery</topic><topic>Cardiac Surgery</topic><topic>General Surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Scientific Paper</topic><topic>Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santos, M. D.</creatorcontrib><creatorcontrib>Silva, D.</creatorcontrib><creatorcontrib>Nogueira, C.</creatorcontrib><collection>CrossRef</collection><jtitle>European surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santos, M. D.</au><au>Silva, D.</au><au>Nogueira, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hand-assisted total colectomy: a safe alternative</atitle><jtitle>European surgery</jtitle><stitle>Eur Surg</stitle><date>2009-06-01</date><risdate>2009</risdate><volume>41</volume><issue>3</issue><spage>109</spage><epage>115</epage><pages>109-115</pages><issn>1682-8631</issn><eissn>1682-4016</eissn><abstract>Summary
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.</abstract><cop>Vienna</cop><pub>Springer-Verlag</pub><doi>10.1007/s10353-009-0464-y</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 1682-8631 |
| ispartof | European surgery, 2009-06, Vol.41 (3), p.109-115 |
| issn | 1682-8631 1682-4016 |
| language | eng |
| recordid | cdi_crossref_primary_10_1007_s10353_009_0464_y |
| source | Springer Nature |
| subjects | Abdominal Surgery Cardiac Surgery General Surgery Medicine Medicine & Public Health Original Scientific Paper Surgery Vascular Surgery |
| title | Hand-assisted total colectomy: a safe alternative |
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