Comparison of Initial Outcome between Hand Assisted Laparoscopic Surgery and Laparoscopic Assisted Surgery for Colorectal Cancer at Maharaj Nakorn Chiangmai Hospital
Keywords:
colorectal carcinoma, laparoscopic, hand-assistedAbstract
Objective: This study aimed to compare the initial outcome between hand-assisted laparoscopic surgeryand laparoscopic assisted surgery in patients with colorectal cancer at Maharaj Nakorn Chiang Mai Hospital,
Chiangmai,Thailand.
Patients and Methods: Between June 2007 and January 2008, 10 patients underwent laparoscopic
colorectal cancer surgery at our hospital. The information including history, clinical presentation, laboratory
tests, radiological reports, operative findings, postoperative complications and length of hospital stay were
recorded.
Results: There were 5 patients in hand-assisted laparoscopic surgery group and another 5 patients in
laparoscopic assisted surgery group. There were no significant difference between two groups in terms of
operative time, total blood loss, post-operative pain score and length of hospital stay. There was no conversion
to open surgery and no postoperative mortality. One postoperative complication with pneumonia occurred in
laparoscopic assisted surgery group.
Conclusions: Our initial experience showed that laparoscopic surgery for colorectal cancer was safe.
There was no difference in term of initial outcomes between hand-assisted laparoscopic colectomy and
laparoscopic assisted colectomy. However, more cases are needed before any solid conclusion can be drawn.
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colorectal polyps beneficial? Surg Endosc 1998;12:1341-4.
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Surg Endosc 2001;15:450-4.
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Colon Rectum 2002;45:605-10.
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colectomy: a critical appraisal. Dis Colon Rectum 1993;36:28-
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carcinoma. Lancet 2005;365:1666-8.
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laparoscopic surgery (HALS) with the HandPort system: initial
experience with 68 patients. Ann Surg 2000;231:715-23.
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al. Hand-assisted laparoscopic surgery (HALS): a report of
150 procedures. Surg Endosc 2004;18:397-401.
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(HALS) with the HandPort system: initial experience with 68
patients. Ann Surg 2000;231:715-23.
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2.
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conventional vs. laparoscopic-assisted surgery in patients
with colorectal cancer (MRC-CLASICC trial): multicenter,
randomized controlled trial. Lancet 2005:365;1718-26.
27. The COLOR Study Group. Impact of hospital case volume
on short-term outcome after laparoscopic operation for
colonic cancer. Surg Endosc 2005;19:687-92.
outcome of laparoscopic resection for colon and
rectosigmoid cancer, Colorectal Disease 2006;8:375-88.
2. Jessup JM, McGinnis LS, Steele GD Jr, et al. The National
Cancer Data Base, report on colon cancer. Cancer 1996;
78:918-26.
3. Bertagnolli MM, Mahmoud NN, Daly JM. Surgical aspects of
colorectal carcinoma. Haematol Oncol Clin North Am
1997;11:655.
4. Holzman MD, Eubanks S. Laparoscopic colectomy.
Prospects Problems Gastrointest Endosc Clin North Am
1997;7:525-39.
5. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive
colon resection (laparoscopic colectomy). Surg Laparosc
Endosc 1991;1:144-50.
6. Liberman MA, Phillips FH, Carroll BJ, et al. Laparoscopic
colectomy vs traditional colectomy for diverticulitis. Surg
Endosc 1996;10:15-8.
7. Kohler L, Rixen D, Troidl H. Laparoscopic colorectal resection
for diverticulitis. Int J Colorectal Dis 1998;13:43-7.
8. Senagore AJ, Duepree HJ, Delaney CP, et al. Cost structure
of laparoscopic and open sigmoid colectomy for diverticular
disease. Dis Colon Rectum 2002;45:485-90.
9. Joo JS, Amarnath L, Wexner SD. Is laparoscopic resection of
colorectal polyps beneficial? Surg Endosc 1998;12:1341-4.
10. Young Fadok TM, Long KH, McConnell EJ, et al. Advantages
of laparoscopic resection for ileocolic Crohn’s disease.
Surg Endosc 2001;15:450-4.
11. Duepree HJ, Senagore AJ, Delaney CP, et al. Advantages
of laparoscopic resection for ileocecal Crohn’s disease. Dis
Colon Rectum 2002;45:605-10.
12. Bergamaschi R, Arnaud JP. Immediately recognizable
benefits and drawbacks after laparoscopic colon resection
for benign disease. Surg Endosc 1997;11:802-4.
13. Tomita H, Marcello PW, Milsom JW. Laparoscopic surgery of
the colon and rectum. World J Surg 1999;23:397-405.
14. Falk PM, Beart RW, Wexner SD, et al. Laparoscopic
colectomy: a critical appraisal. Dis Colon Rectum 1993;36:28-
34.
15. Philipson BM, Bokey EL, Moore JWE, et al. Cost of open versus
laparoscopically assisted right hemicolectomy for cancer.
World J Surg 1997;21:214-7.
16. Lacy A. Colon Cancer: laparoscopic resection. Ann Oncol
2005;16(Suppl 2):88-92.
17. Curet MJ. Laparoscopic-assisted resection of colorectal
carcinoma. Lancet 2005;365:1666-8.
18. Motson RW. Laparoscopic surgery for colorectal cancer. Br
J Surg 2005;92:519-20.
19. Luck A, Hensman C, Hewett P. Laparoscopic colectomy for
cancer: a review. Austr NZ J Surg 1998; 68:318-27.
20. Sjoerdsma W, Meijer DW, Jansen A, den Boer KT, Grimbergen
CA. Comparison of efficiencies of three techniques for
colon surgery. J Laparoendosc Adv Surg Tech 2000;10:47-
53.
21. Meijer DW, Bannenberg JJ, Jakimowicz JJ. Hand-assisted
laparoscopic surgery: an overview. Surg Endosc 2000;14:891-
5.
22. Litwin DE, Darzi A, Jakimowicz J, et al. Hand-assisted
laparoscopic surgery (HALS) with the HandPort system: initial
experience with 68 patients. Ann Surg 2000;231:715-23.
23. Maartense S, Bemelman WA, Gerritsen van der Hoop A, et
al. Hand-assisted laparoscopic surgery (HALS): a report of
150 procedures. Surg Endosc 2004;18:397-401.
24. HALS Study Group. Hand-assisted laparoscopic surgery
(HALS) with the HandPort system: initial experience with 68
patients. Ann Surg 2000;231:715-23.
25. Wolff JS Jr. Hand assisted laparoscopy. Urology 2001;58:310-
2.
26. Goillou PJ, Quirke P, Thrope H, et al. Short-term endpoints of
conventional vs. laparoscopic-assisted surgery in patients
with colorectal cancer (MRC-CLASICC trial): multicenter,
randomized controlled trial. Lancet 2005:365;1718-26.
27. The COLOR Study Group. Impact of hospital case volume
on short-term outcome after laparoscopic operation for
colonic cancer. Surg Endosc 2005;19:687-92.
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Published
2010-03-31
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Sutharat P, Siriwittayakorn P, Sandhu T. Comparison of Initial Outcome between Hand Assisted Laparoscopic Surgery and Laparoscopic Assisted Surgery for Colorectal Cancer at Maharaj Nakorn Chiangmai Hospital. Thai J Surg [Internet]. 2010 Mar. 31 [cited 2024 Apr. 20];31(1). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227832
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