Cosme RC, Guerrero GVH, Castañeda ML, Jean SE, Belmonte MC

Language: Spanish
References: 22
Page: 92-96
PDF size: 101.56 Kb.

ABSTRACT

Introduction: Multiple studies have showed the security of laparoscopic colectomy in cancer which has increased the number of reported cases. Nevertheless, it continues being a challenging procedure. Hand assisted laparoscopic colectomy (HALC) is associated with short surgical times, less conversions and the possibility of doing more complex cases with the same post-operative benefits as the laparoscopic assisted procedure. Methods: It’s a retrospective and observational study with 19 patients who had a HALC for cancer of the colon and/or rectum, by 3 colon and rectal surgeons with laparoscopic experience. All in private hospitals and all were elective surgeries. The following variables were analyzed: age, gender, diagnosis, staging, procedure and surgical time, conversion, morbidity and mortality. Results: Eight sigmoidectomies, 6 total mesorectal excisions, 3 low anterior resections and 2 right colectomies were performed. The surgical time was 76 minutes and there were no conversions. Thirteen lymph nodes in average were obtained. The hospital stay was 5.25 days. Two anastomotic leaks who were reoperated via laparoscopy. No surgical mortality reported. Conclusions: HALC for cancer is a safe procedure associated with the same morbidity, mortality and oncologic prognosis than that reported for open surgery.

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