Hand-assisted laparoscopic colectomy vs open colectomy: A prospective randomized study

J. C. Kang, M. H. Chung, P. C. Chao, C. C. Yeh, C. W. Hsiao, T. Y. Lee, S. W. Jao

Research output: Contribution to journalArticlepeer-review

89 Citations (Scopus)


Background: We compared the perioperative parameters and outcomes achieved with hand-assisted laparoscopic colectomy (HALC) vs open colectomy (OC) for the management of benign and malignant colorectal disease, including cancer patients treated with curative intent. Methods: Sixty eligible patients were randomized to either HALC (n = 30) or OC (n = 30) treatment groups. We used Pearson's chi-square and two-sample t-tests to compare the differences in demographics and perioperative parameters. Results: There were no significant differences in age, gender distribution, disease pattern, operative procedure, comorbidity, or history of abdominal surgery. The HALC patients had significantly shorter hospital stays and incision lengths, faster recovery of gastrointestinal function, less analgesic use and blood loss and lower pain scores on postoperative days 1, 3, and 14. There were no significant differences in operative time, complications, or time to return to normal activity. Conclusion: Hand-assisted laparoscopic colectomy (HALC) is safe and produces better therapeutic results in terms of perioperative parameters than OC.

Original languageEnglish
Pages (from-to)577-581
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number4
Publication statusPublished - Apr 2004
Externally publishedYes


  • Colorectal disease
  • Hand-assisted laparoscopic colectomy
  • Open colectomy

ASJC Scopus subject areas

  • Surgery

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