Hand-assisted laparoscopic colorectal surgery using GelPort - Initial experience with a new hand acces device

被引：23

作者：

Nakajima, K ^{[1
]}

Lee, SW ^{[1
]}

Cocilovo, C ^{[1
]}

Foglia, C ^{[1
]}

Kim, K ^{[1
]}

Sonoda, T ^{[1
]}

Milsorn, JW ^{[1
]}

机构：

[1] Cornell Univ, Weill Med Coll, New York Presbyterian Hosp, Dept Surg,Sect Colon & Rectal Surg, New York, NY 10021 USA

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2004年 / 18卷 / 01期

关键词：

hand-assisted laparoscopic surgery; HALS; laparoscopic colectomy; colorectal disease; hand access device;

D O I：

10.1007/s00464-002-8648-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: An easily usable hand access device will optimize success in hand-assisted laparoscopic surgery (HALS). The authors describe their initial series of HALS colorectal resections using GelPort to evaluate their current technique and results with this new device. Methods: A retrospective study investigated 33 HALS colorectal procedures including total colectomy (n = 16) and low anterior resection (n = 10). All operative data, including intraoperative GelPort performance, were prospectively recorded and retrospectively analyzed. Results: In this study, 3 (9.1%) of 33 HALS procedures were converted to open surgery, and 4 (13.3%) of 30 HALS procedures required minimal enlargement of incisions to facilitate extracorporeal procedures. The operative time was 263 +/- 85 min, and the blood loss was 282 +/- 148 ml. There were no device malfunctions. Three major complications (9.1%) and 7 minor wound infections (21%) were noted postoperatively. The mean hospital stay was 7.9 +/- 3.8 days. Conclusion: When performed with GelPort, HALS is safely and reliably applicable for various colorectal procedures.

引用

页码：102 / 105

页数：4

共 8 条

[1] Hand-assisted laparoscopic colorectal surgery [J].

Darzi, A .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 2000, 14 (11) :999-1004

[2] Hand-assisted laparoscopic surgery vs standard laparoscopic surgery for colorectal disease - A prospective randomized trial [J].

Litwin, DEM .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2000, 14 (10) :896-901

[3] Hand-assisted laparoscopic surgery (HALS) with the HandPort System - Initial experience with 68 patients [J].

Litwin, DEM ;

Darzi, A ;

Jakimowicz, J ;

Kelly, JJ ;

Arvidsson, D ;

Hansen, P ;

Callery, MP ;

Denis, R ;

Fowler, DL ;

Medich, DS ;

O'Reilly, MJ ;

Atlas, H ;

Himpens, JM ;

Swanstrom, LL ;

Arous, EJ ;

Pattyn, P ;

Yood, SM ;

Ricciardi, R ;

Sandor, A ;

Meyers, WC .

ANNALS OF SURGERY, 2000, 231 (05) :715-721

[4] Hand-assisted laparoscopic surgery - An overview [J].

Meijer, DW ;

Bannenberg, JJG ;

Jakimowicz, JJ .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 2000, 14 (10) :891-895

[5]

Meyers WC, 1999, ARCH SURG-CHICAGO, V134, P477

[6]

MILSOM JW, 1996, LAPAROSCOPIC COLOREC, P134

[7] Hand-assisted laparoscopic low anterior resection - Initial experience with new procedure [J].

Pietrabissa, A ;

Moretto, C ;

Carobbi, A ;

Boggi, U ;

Ghilli, M ;

Mosca, F .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2002, 16 (03) :431-435

[8] Prospective randomized trial comparing conventional laparoscopic colectomy with hand-assisted laparoscopic colectomy -: Applicability, immediate clinical outcome, inflammatory response, and cost [J].

Targarona, EM ;

Gracia, E ;

Garriga, J ;

Martínez-Bru, C ;

Cortés, M ;

Boluda, R ;

Lerma, L ;

Trías, M .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2002, 16 (02) :234-239

← 1 →