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2011, Number 4

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Rev Mex Cir Endoscop 2011; 12 (4)

Hand-assisted laparoscopic surgery: An answer for complex surgery? A surgical team 5 years experience in the ABC Health Center

Jean SE, Belmonte MC, Romano FS, Cosme RC

Language: Spanish
References: 21
Page: 149-154
PDF size: 57.39 Kb.


ABSTRACT

Introduction: Hand-assisted laparoscopic surgery has multiple advantages over conventional laparoscopy and open surgery, emphasizing its utility in complex cases. Material and methods: We investigated the last 36 patients that underwent some kind of hand-assisted laparoscopic surgery by one surgical team specialized in colorectal surgery. Results: We analyzed 36 charts of consecutive, non-selected patients, finding that 53% were female, averaging 60 years of age, BMI of 26.5. 75% of the patients had some sort of concomitant illness and 70% had the history of at least one abdominal surgery. Most patients were classified as ASA II. The principal diagnosis were diverticular disease and colorectal cancer. The most frequent procedure was sigmoidectomy, followed by right hemicolectomy and total mesorectal excision. The average operating time was 143 minutes. The associated morbidity and mortality rate were 19% and 0% respectively. Conclusions: Hand-assisted surgery is an alternative for the routine application in non-selected, complex cases of colorectal pathology, conserving the benefits of minimal invasive surgery with minimum conversion rates.


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