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Hand-assisted laparoscopic surgery for colorectal malignancies
Muhammed Ashraf Memon1, Robert J Fitzgibbons
1Department of Surgery, Nottingham City Hospital, Nottingham, England, UK. mmemon@yahoo.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 9, 2004
Summary
Hand-assisted laparoscopic surgery (HALS) for colorectal cancer offers tactile sensation benefits. This technique allows for curative oncological resection without compromising principles, proving useful for laparoscopic colectomy.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Colorectal malignancies present surgical challenges.
- Laparoscopic colectomy offers benefits but can lack tactile feedback.
Purpose of the Study:
- To evaluate the initial experience with hand-assisted laparoscopic surgery (HALS) for colorectal malignancies.
- To assess the feasibility and safety of using a hand cannula in laparoscopic colectomy.
Main Methods:
- Nine patients with colorectal cancer underwent HALS.
- Procedures included various colectomies and resections.
- A specially designed laparoscopic hand cannula was utilized.
Main Results:
- The mean incision length for cannula placement was 7 cm.
- Mean operative time was 180 minutes.
- No conversions to open laparotomy were required; no operative mortality or device-related complications occurred.
Conclusions:
- HALS provides tactile sensation, enhancing laparoscopic colectomy.
- Curative oncological resection is achievable with HALS.
- The technique is a valuable adjunct for colorectal cancer surgery.