Hand-Assisted Laparoscopic Surgery for Colorectal Adenocarcinoma
摘要
Purpose. To report our preliminary result of hand-assisted laparoscopic surgery (HALS) for colorectal adenocarcinoma. Patients and Methods. From January 2002 to December 2003, eleven patients with colorectal adenocarcinoma underwent HALS, including 2 left hemicolectomies, 3 anterior resections and 6 low anterior resections. Outcome data analyzed included the operation time, blood loss, conversion to open procedure, length of specimen, time to return of flatus, length of postoperative hospital stay, complications, and recurrence. Results. There were 6 males and 5 females with an average age of 58.9years-old (range 21-87). The mean operative time was 184.1 mm (range 100-255). The mean estimated blood loss was 197.1 mL (range 100-800). The mean length of specimen was 14.3 cm (range 11-18). The mean days of first time to flatus were 3.1 days (range 2-4) and the mean hospital days were 10.5 days (range 6-29). There was no conversion to an open procedure but two postoperative complications developed, one was wound infection and the other was diarrhea with longer hospitalization. In the mean follow-up period of 23.4 months (range 11-31), there was no tumor recurrence but one mortality 6 months later due to other underlying medical problems. Conclusion. HALS might be a safe and feasible operation for colorectal adenocarcinoma.