Cosme RC, Castañeda MLE, Guerrero GVH, Belmonte MC

Language: Spanish
References: 13
Page: 142-145
PDF size: 37.72 Kb.

ABSTRACT

Objective: To describe the advantages of hand-assisted laparoscopic surgery for benign and malignant surgical diseases of the colon and rectum. Setting: Diverse third level health care hospitals. Design: Retrospective, descriptive, observational study. Statistical analysis: Central tendency measures and percentages as summary measure for qualitative variables. Patients and methods: We included 40 patients in whom hand assisted laparoscopic colectomy (HALC) was performed for either benign or malignant disease of the colon and/or rectum, candidates for elective and emergency colorectal resection. We analyzed the following variables, age, gender, diagnosis, surgical procedure, time of surgery, size of the incision, conversion to open procedure, complications, in-hospital stay, and mortality. Results: We performed 19 sigmoidectomies, 5 total excisions of the mesorectum, 4 low anterior resections, 3 rectopexies, 3 rectopexies with sigmoidectomies, 2 right colectomies, 2 total colectomies, and 2 colostomy closures. Average surgical time was 135 min ± 20, although it varied according to the procedure. No conversions to open surgery had to be made. In-hospital stay was of 5.25 days in average, range 3 to 14 days. Three patients presented leakage of the anastomoses, and were reintervened for cavity lavage and to perform a loop ileostomy, No surgical deaths occurred. Conclusion: Use of HALC for benign and malignant diseases is safe, retains the benefits of minimally invasive surgery, is associated to less surgical time, and allows for the resolution of more complex cases, with a low conversion index.

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