Abstract
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 language | English |
|---|---|
| Pages (from-to) | 577-581 |
| Number of pages | 5 |
| Journal | Surgical Endoscopy and Other Interventional Techniques |
| Volume | 18 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2004 |
| Externally published | Yes |
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Keywords
- Colorectal disease
- Hand-assisted laparoscopic colectomy
- Open colectomy
ASJC Scopus subject areas
- Surgery
Cite this
Hand-assisted laparoscopic colectomy vs open colectomy : A prospective randomized study. / Kang, J. C.; Chung, M. H.; Chao, P. C.; Yeh, C. C.; Hsiao, C. W.; Lee, T. Y.; Jao, S. W.
In: Surgical Endoscopy and Other Interventional Techniques, Vol. 18, No. 4, 04.2004, p. 577-581.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hand-assisted laparoscopic colectomy vs open colectomy
T2 - A prospective randomized study
AU - Kang, J. C.
AU - Chung, M. H.
AU - Chao, P. C.
AU - Yeh, C. C.
AU - Hsiao, C. W.
AU - Lee, T. Y.
AU - Jao, S. W.
PY - 2004/4
Y1 - 2004/4
N2 - 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.
AB - 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.
KW - Colorectal disease
KW - Hand-assisted laparoscopic colectomy
KW - Open colectomy
UR - http://www.scopus.com/inward/record.url?scp=2342644289&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=2342644289&partnerID=8YFLogxK
U2 - 10.1007/s00464-003-8148-3
DO - 10.1007/s00464-003-8148-3
M3 - Article
C2 - 15026923
AN - SCOPUS:2342644289
VL - 18
SP - 577
EP - 581
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
SN - 0930-2794
IS - 4
ER -