Hand-assisted laparoscopic colon and rectal cancer surgery: feasibility, short-term, and oncological outcomes

Surgery
Rajesh PendlimariRobert R Cima

Abstract

Hand-assisted laparoscopic surgery (HALS) is an established alternative to laparoscopic-assisted surgery, but limited data exist regarding its applicability for colorectal cancer (CRC). We report short-term outcomes in a large series of CRC patients who underwent HALS between 2004 and 2009. A prospectively maintained database was used to identify all CRC patients. Patients with colon cancer (CC) and rectal cancer (RC) were considered separately. Three patients with synchronous CC and RC were excluded. Data are frequency (%) or median (interquartile range). Between 2004 and 2009, 323 CRC patients underwent a HALS procedure. Median age was 65 (53-73) years, 39% were women, and the median BMI was 27 (24-31) kg/m(2). Diagnoses included 194 colon cancers (CC, 56.7% stage I/II), 129 rectal cancers (RC, 62.7% stage I/II). Operative time was less for CC than RC (157 vs 204 min; P < .0001). Conversion to laparotomy occurred in similar proportions of CC and RC cases (14% vs 10%; P = .38); lymph nodes retrieval was also similar (18 vs 18; P = .45). Overall duration of stay was 5 (4-7) days. At 30 days, postoperative complications occurred in similar proportions of CC and RC patients (28% vs 30%; P = .72). There was 1 mortality (0.5%). For...Continue Reading

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Citations

May 14, 2014·BioMed Research International·Dedrick Kok-Hong ChanKer-Kan Tan
Oct 12, 2012·International Journal of Colorectal Disease·Peter WarnickMichael Hünerbein
Jun 9, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Qin-Song ShengYan-Dong Li
Apr 10, 2013·Computer Methods and Programs in Biomedicine·E BauzanoV F Muñoz
Oct 26, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Brian F GilmoreChristopher R Mantyh
Aug 17, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Xubing ZhangZiqiang Wang
Dec 13, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Xubing ZhangZiqiang Wang
Nov 13, 2018·Journal of Minimal Access Surgery·Xubing ZhangZiqiang Wang
Oct 21, 2017·Surgical Endoscopy·Ali M LinskCaroline G L Cao
Nov 29, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Helen M HeneghanJon D Vogel

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