Surgical endoscopy · 2003
Hand-assisted laparoscopic colorectal surgery using GelPort.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Nakajima K, Lee S W, Cocilovo C, Foglia C, Kim K, Sonoda T, Milsom J W
Аннотация
BACKGROUND: An easily usable hand access device will optimize success in hand-assisted laparoscopic surgery (HALS). The authors describe their initial series of HALS colorectal resections using GelPort to evaluate their current technique and results with this new device.
METHODS: A retrospective study investigated 33 HALS colorectal procedures including total colectomy ( n = 16) and low anterior resection ( n = 10). All operative data, including intraoperative GelPort performance, were prospectively recorded and retrospectively analyzed.
RESULTS: In this study, 3 (9.1%) of 33 HALS procedures were converted to open surgery, and 4 (13.3%) of 30 HALS procedures required minimal enlargement of incisions to facilitate extracorporeal procedures. The operative time was 263 +/- 85 min, and the blood loss was 282 +/- 148 ml. There were no device malfunctions. Three major complications (9.1%) and 7 minor wound infections (21%) were noted postoperatively. The mean hospital stay was 7.9 +/- 3.8 days.
CONCLUSION: When performed with GelPort, HALS is safely and reliably applicable for various colorectal procedures.
METHODS: A retrospective study investigated 33 HALS colorectal procedures including total colectomy ( n = 16) and low anterior resection ( n = 10). All operative data, including intraoperative GelPort performance, were prospectively recorded and retrospectively analyzed.
RESULTS: In this study, 3 (9.1%) of 33 HALS procedures were converted to open surgery, and 4 (13.3%) of 30 HALS procedures required minimal enlargement of incisions to facilitate extracorporeal procedures. The operative time was 263 +/- 85 min, and the blood loss was 282 +/- 148 ml. There were no device malfunctions. Three major complications (9.1%) and 7 minor wound infections (21%) were noted postoperatively. The mean hospital stay was 7.9 +/- 3.8 days.
CONCLUSION: When performed with GelPort, HALS is safely and reliably applicable for various colorectal procedures.
Предметные рубрики MeSH
AdultAgedAged, 80 and overBlood Loss, SurgicalColectomyColonic DiseasesColorectal NeoplasmsDigestive System Surgical ProceduresEquipment DesignFemaleHandHumansInflammatory Bowel DiseasesIntraoperative PeriodLaparoscopyMaleMiddle AgedPostoperative ComplicationsProctocolectomy, RestorativeProspective StudiesRectal DiseasesTreatment Outcome