Initial Experience with Hand-Assisted Laparoscopic Colorectal Surgery
Author Information
Author(s): Meshikhes Abdul-Wahed N., El Tair Mokhtar Al Ghazal Thabit
Primary Institution: King Fahad Specialist Hospital, Dammam, Eastern Province, Saudi Arabia
Hypothesis
Can hand-assisted laparoscopic colorectal surgery serve as a bridge to totally laparoscopic surgery?
Conclusion
Hand-assisted laparoscopic colorectal procedures are easy to learn and serve as a good bridge to mastering totally laparoscopic colorectal surgery.
Supporting Evidence
- 76% of the procedures were performed for cancer.
- The mean operative time was 180 minutes.
- Mean length of hospital stay was five days.
- Total short-term complications were 24%, including one death.
- Two patients developed incisional hernias at the port site.
Takeaway
This study shows that using a hand to help during laparoscopic surgery makes it easier and safer for doctors to perform operations on the intestines.
Methodology
A prospective analysis of the first 25 cases of hand-assisted laparoscopic colorectal resections performed by a single surgeon over a 15-month period.
Limitations
The study is limited by its small sample size and the experience of a single surgeon.
Participant Demographics
15 males and 10 females with a mean age of 55.5 years (range 20-82).
Digital Object Identifier (DOI)
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