Ewha Med J.  2011 Sep;34(2):19-26. 10.12771/emj.2011.34.2.19.

Comparison of Short-term Follow-up Results of Open, Laparoscopic and Hand-assisted Laparoscopic Colectomy in Colorectal Cancer

Affiliations
  • 1Department of Surgery, College of Medicine, Ewha Womans University School of Medicine, Seoul, Korea. eastgate@ewha.ac.kr

Abstract


OBJECTIVES
Hand-assisted laparoscopic surgery had both technical advantages of open surgery and better postoperative short-term follow-up results of laparoscopic surgery. We compared open colectomy, laparoscopic colectomy and hand-assisted laparoscopic colectomy, and tried to find the most effective operative modality.
METHODS
90 patients, who were diagnosed with colorectal cancer and underwent colectomy in our institution, were categorized as 3 groups of open colectomy (OC) group, laparoscopic colectomy (LC) group and hand-assisted laparoscopic colectomy (HALC) group by the surgical modality.
RESULTS
In this study, ratio of male and female was 57 : 37, and mean age was 64.1 years old. LC group and HALC group showed longer operation time, shorter hospital stay after operation, lesser pain and earlier removal of closed drainage catheter than OC group. Amount of bleeding during operation, frequency of transfusion and incidence of complication showed no significant difference. In permanent pathologic results, the number of harvested lymph nodes had significant difference between OC group and other groups (P=0.030), but it was probably caused by the bias of the different distribution of the stages in each group. Overall 14 of the cases resulted in complications while there was no mortality.
CONCLUSION
Laparoscopic colectomy and hand-assisted laparoscopic colectomy showed better short-term follow-up results rather than open colectomy. And hand-assisted laparoscopic surgery could provide tactile sensation to operator, which lacked in laparoscopic surgery. Hand-assisted laparoscopic colectomy could be an alternative surgical option for colorectal cancer with these advantages.

Keyword

Colorectal cancer; Colectomy; Laparoscopy; Hand-assisted laparoscopic surgery

MeSH Terms

Bias (Epidemiology)
Catheters
Colectomy
Colorectal Neoplasms
Drainage
Female
Follow-Up Studies
Hand-Assisted Laparoscopy
Hemorrhage
Humans
Incidence
Laparoscopy
Length of Stay
Lymph Nodes
Male
Sensation
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