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ISSN 1665-2576 (Print)

2011, Number 4

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Rev Mex Cir Endoscop 2011; 12 (4)

Current status of the hand-assisted colectomy surgery

Cosme RC, Jean SE, González DLS, Belmonte MC

Language: Spanish
References: 27
Page: 180-184
PDF size: 52.99 Kb.


ABSTRACT

Objective: Many reports have described the benefits of the hand-assisted approach in colorectal surgery. The purpose of the present study is to determine the current status of the hand-assisted approach by responding to four controversial issues in hand assisted colectomy. Methods: Studies on Hand-assisted laparoscopic surgery were identified using electronic databases like MEDLINE and PubMed. Results: We found 27 reports which included 10 descriptive studies, 5 non-randomized trials, 7 randomized trials and 1 meta-analysis. Conclusions: Hand assisted laparoscopic colectomy is a safe and reliable approach with better over-all results to open surgery and similar short-term benefits to the laparoscopic assisted approach. Hand-assisted colectomy provides a shorter operating time in segmental and total colectomies and it is associated with lower conversion rates. It also plays an important role in teaching fellows laparoscopic colorectal procedures.


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