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ISSN 1665-2576 (Print)

2016, Number 2

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Rev Mex Cir Endoscop 2016; 17 (2)

Short-term clinical results ofhand-assisted laparoscopic surgeries of the left colon

Reyes CAA, Decanini TC, Vega JM, Obregón MJ, González JDF, González GI, Santos MA, Sainz HJC

Language: Spanish
References: 19
Page: 82-87
PDF size: 223.37 Kb.


ABSTRACT

Introduction: Laparoscopic colorectal surgery is not widely used because of its technical difficulty, increased learning curve and longer operating time. Hand-assisted laparoscopic surgery is a surgical technique in colorectal surgery that provides similar results to laparoscopic surgery, avoiding these problems. The aim of this study is to inform the clinical characteristics and results of a case series report of the same proficient surgical team. Material and methods: A retrospective study was performed through an analysis of those patients who underwent hand-assisted laparoscopic surgery for left colectomy with any diagnosis in the ABC Medical Center IAP from January 1st, 2011 to December 31st, 2015 by the same surgical team. Results: In 60 months, 88 patients were identified (27.27% female and 72.72% male), with an average age of 57 years. Twenty-nine individuals had a history of abdominal and pelvic surgery. The most common diagnoses were non-repetition acute diverticulitis and left-sided colon cancer. The average operating time was 103.23 minutes; blood loss, 174 mL; time to recovery of gastrointestinal function, 4.45 days; and days of hospital stay, 7.98. The resected specimen length was 18.42 cm. For cancer surgery, 15.5 lymphatic nodes were obtained on average. Three perioperative complications were recorded; no conversion to open surgery or death. Conclusions: Hand-assisted laparoscopic surgery is a technique that offers the advantages of minimally invasive surgery, being a safe and effective option in expert hands.


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