Hand-assisted laparoscopic surgery for colorectal malignancies

Muhammed Ashraf Memon, Robert J. Fitzgibbons

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3 Scopus citations

Abstract

Objective: To report our initial experience with hand-assisted laparoscopic surgery (HALS) for colorectal malignancies using a specially-designed laparoscopic hand cannula. Patients and Methods: Nine caucasians patients with colorectal malignancies underwent HALS which included 02 right hemicolectomies, 01 transverse colectomy, 03 sigmoid colectomies, 01 anterior resection and 02 low anterior resections. Results: There were 4 males and 5 females. The mean length of incision for placement of the cannula was 7 cms (range 7-8 cms). The mean operating time was 180 minutes. Postoperatively on an average patients were ambulatory by day 2 (range 1-4) and taking oral fluids by day 3 (range 1-4). There were no conversions to laparotomy. Furthermore there was no operative mortality and no complication directly related to the use of the device. Conclusion: HALS appears to be a useful adjuvant for laparoscopic colectomy due to advantages provided by tactile sensation. A curative resection for malignancy can be performed without compromising oncological principles.

Original languageEnglish (US)
Pages (from-to)566-569
Number of pages4
JournalJournal of the College of Physicians and Surgeons Pakistan
Volume14
Issue number9
StatePublished - Sep 1 2004

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All Science Journal Classification (ASJC) codes

  • Medicine(all)

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