Hand-assisted Laparoscopic Colectomy at Khon Kaen Hospital
คำสำคัญ:
Hand-assisted Laparoscopic Colectomyบทคัดย่อ
Background Data
Hand-assisted laparoscopic surgery is a recent technique that combines the benefits of the open and laparoscopic surgery. At Khon Kaen Hospital, we have employed the handassisted laparoscopic surgery since 2010. It has been used mainly for colectomy.
Objective
This study gathered information on characteristics, surgical data, operative details and postoperative outcomes of patients who had gone through Hand-assisted Laparoscopic Colectomy at Khon Kaen Hospital.
Methods
This descriptive retrospective study was conducted at Khon Kaen Hospital from January 2010 to December 2015 on patients who had a hand-assisted laparoscopic colectomy (HALC).
Results
A total of 20 patients were subjected to the study. Hand-assisted laparoscopic colectomy included Right hemicolectomy, Right extended hemicolectomy, Left hemicolectomy, Sigmoidectomy, Low anterior resection and Abdomino-perineal resection.The incision size had a range of 5.9-7 cm. We needed to convert to an open surgery in one because the tumor had spread to nearby tissues. The length of the hospital stay was 9 days on average. Two with surgical site infection and one with urinary tract infection. Perioperative mortality was null and no patients were subjected to a repeated surgery.
Conclusions
The hand-assisted laparoscopic surgery to treat colon diseases at the Khon Kaen Hospital was found to be safe with no serious complications nor perioperative mortality. Weachieved similarly satisfying results as in other studies.
References
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