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Hand-assisted laparoscopic colorectal surgery: an evidence-based review
G Martel1, R P Boushey, P W Marcello
1Division of General Surgery, Colon and Rectal Surgery Unit, The Ottawa Hospital, University of Ottawa, ON, Canada.
Minerva Chirurgica
|October 17, 2008
Summary
Hand-assisted laparoscopic colorectal surgery offers a hybrid approach, potentially reducing operative time for colorectal resections compared to standard laparoscopy. This technique maintains minimally invasive benefits for complex procedures.
Area of Science:
- Minimally Invasive Surgery
- Colorectal Surgery
- Surgical Technology
Background:
- Laparoscopic colorectal surgery is technically demanding for many surgeons.
- Hand-assistance offers a hybrid approach combining benefits of open and laparoscopic surgery.
- Few high-quality studies evaluate hand-assisted laparoscopic colorectal surgery.
Purpose of the Study:
- To evaluate the efficacy and benefits of hand-assisted laparoscopic colorectal surgery.
- To compare hand-assisted approach with standard laparoscopy for colorectal resections.
- To assess the role of hand-assistance in complex minimally invasive colorectal procedures.
Main Methods:
- Review of existing literature on hand-assisted laparoscopic colorectal surgery.
- Comparison of operative times and short-term outcomes between hand-assisted and standard laparoscopic colorectal surgery.
- Analysis of data for left-sided segmental colonic and total colorectal resections.
Main Results:
- Hand-assistance appears to reduce operative time compared to standard laparoscopy for specific resections.
- Hand-assisted approach maintains short-term benefits of laparoscopy.
- Enables complex procedures in a minimally invasive manner.
- Limited data exists for rectal cancer surgery.
Conclusions:
- Hand-assisted laparoscopic colorectal surgery is a valuable adjunct to standard laparoscopy.
- It offers a viable hybrid option for technically challenging colorectal procedures.
- Further research is needed, particularly for rectal cancer applications.
