Hand-Assisted Laparoscopic vs. Laparoscopic Colorectal Surgery: A Multicenter, Prospective, Randomized Trial

Marcello, Peter W.; Fleshman, James W.; Milsom, Jeffrey W.; Read, Thomas E.; Arnell, Tracey D.; Birnbaum, Elisa H.; Feingold, Daniel L.; Lee, Sang W.; Mutch, Matthew G.; Sonoda, Toyooki; Yan, Yan; Whelan, Richard L.

doi:10.1007/s10350-008-9269-5

Cited by 176 publications

(132 citation statements)

References 21 publications

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“…It is crucial to choose the suitable positions of trocars, which provide with flexibility of laparoscopic procedures (Jones et al 1995;Bemelman et al 1996;Darzi 2000;Marcello et al 2008). With correct positions that ensure smooth operation performances, we can shorten operation time, reduce complications, and lighten operative trauma.…”

Section: Locations Of Trocars and Assisted Incisionmentioning

confidence: 99%

Laparoscopic Colorectomy for Colorectal Cancer: Retrospective Analysis of 889 Patients in a Single Center

Lü

Zhou

Xun

et al. 2012

Tohoku J. Exp. Med.

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Laparoscopic colectomy has been reported as an alternative for treatment of colorectal cancer. However, its long-term efficacy and safety remain obscure. The purpose here was to review our experience with laparoscopic colectomy in 899 patients between June 2001 and December 2008. Of them, 43 patients were converted to open surgery and 846 accepted laparoscopic colorectomy successfully. Among these 846 patients, 790 patients underwent radical resection and 56 patients underwent palliative resection. Only 1 patient died from perioperative pulmonary infection; thus the mortality was 0.12% (1/846). The morbidity of perioperative complications was 18.20% (154/846): intraoperative complication rate was 4.49% (38/846) and the most common intraoperative complication was subcutaneous emphysema and hypercapnia (1.65%, 14/846); postoperative complication rate was 13.71% (116/846) and the most common postoperative complication was ileus (4.37%, 37/846). The overall followed-up rate was 86.41% (731/846, 680 for radical operations and 51 palliative operations). Postoperative deaths happened to 139 patients, including 112 after radical operation and 27 after palliative resection. Of these 112 patients, 97 deaths were cancer-related (14.26%, 97/680) and 15 deaths were non-cancer-related. There were 10 patients encountered local recurrence (1.47%, 10/680) and 105 for metastasis (15.44%, 105/680) after radical operation. Forty-two patients are still alive with tumor. Overall survival rate was 80.98% (592/731), 3-year disease-free survival (DFS) rate after radical operation was 78.0%, and 3-year DFS rate after radical operation for stage I, stage II, and stage III was 89.0%, 85.0%, and 65.0%, respectively. In conclusion, laparoscopic colorectal resection is a feasible and safe technology for colorectal cancer.

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Section: Locations Of Trocars and Assisted Incisionmentioning

confidence: 99%

Laparoscopic Colorectomy for Colorectal Cancer: Retrospective Analysis of 889 Patients in a Single Center

Lü

Zhou

Xun

et al. 2012

Tohoku J. Exp. Med.

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“…8 More recently, RALS has been reported to be a safe and feasible approach for various colorectal procedures. 9 -11 Although comparative studies of open vs CLS, [1][2][3][4][5][6][7] open vs HALS, 8 and CLS vs HALS 12,13 have been reported in the colorectal surgery literature, a limited number of studies have compared RALS with other minimally invasive modalities. 14, 15 We present a 3-arm (conventional, hand-assisted, and robotic-assisted laparoscopic surgery) matched-case analysis of intraoperative and short-term postoperative outcomes in patients undergoing minimally invasive colorectal surgery.…”

mentioning

confidence: 99%

A Three-Arm (Laparoscopic, Hand-Assisted, and Robotic) Matched-Case Analysis of Intraoperative and Postoperative Outcomes in Minimally Invasive Colorectal Surgery

Patel

Ragupathi

Ramos-Valadez

et al. 2011

Diseases of the Colon &Amp; Rectum

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In this 3-arm case-matched series, the robotic approach results in short-term outcomes comparable to conventional and hand-assisted laparoscopic approaches for benign and malignant diseases of the rectum and rectosigmoid. With 3-dimensional visualization, additional freedom of motion, and improved ergonomics, this enabling technology may play an important role when performing colorectal procedures involving the pelvic anatomy.

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“…Since the introduction of the first hand-assisted device in 1997, the hand-assisted technique has been successfully applied to a variety of surgical procedures, including colectomy [4], nephrectomy [5], liver resection [6], abdominal aortic aneurism repair [7], splenectomy [8], hysterectomy, and myomectomy [1,2]. In this study, we have successfully used Fig.…”

Section: Discussionmentioning

confidence: 99%

The Utility of Hand-Assisted Laparoscopic Surgery (HALS) in Giant Pelvic Masses

2015

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The purpose of this study was to report the outcomes of a series of patients who underwent hand-assisted laparoscopy surgery for benign giant pelvic masses, including ovarian cysts and uterine myomas. We reviewed the records of all patients who underwent laparoscopic or hand-assisted laparoscopy surgery for a variety of benign gynecological conditions. Demographic, clinical, pathologic, and follow-up information was analyzed. Twelve patients have undergone handassisted laparoscopy for giant pelvic mass, including four h a n d -

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Hand-Assisted Laparoscopic vs. Laparoscopic Colorectal Surgery: A Multicenter, Prospective, Randomized Trial

Abstract: In this prospective, randomized study, hand-assisted laparoscopic colorectal surgery resulted in significantly shorter operative times while maintaining similar clinical outcomes as straight laparoscopic techniques for patients undergoing left-sided colectomy and total abdominal colectomy.

Cited by 176 publications

References 21 publications

Laparoscopic Colorectomy for Colorectal Cancer: Retrospective Analysis of 889 Patients in a Single Center

Laparoscopic Colorectomy for Colorectal Cancer: Retrospective Analysis of 889 Patients in a Single Center

A Three-Arm (Laparoscopic, Hand-Assisted, and Robotic) Matched-Case Analysis of Intraoperative and Postoperative Outcomes in Minimally Invasive Colorectal Surgery

The Utility of Hand-Assisted Laparoscopic Surgery (HALS) in Giant Pelvic Masses

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