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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 125 - 129 (5page)
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Purpose: Hand-assisted laparoscopic surgery (HALS) is a minimally invasive surgical technique with the combined benefits of laparoscopic surgery while allowing the use of the surgeon’s hand for better tactile control. Obesity has been associated with higher conversion rates with multiport laparoscopic surgery, but not with HALS. This study aimed to examine the versatility of HALS in various clinical contexts. Methods: All HALSs performed at 2 major tertiary centers in Sydney were prospectively collected for retrospective analysis. Variables including age, sex, body mass index (BMI), previous surgeries, pathologies including size and T-stage, and the number of conversions to a midline laparotomy were examined. Results: A total of 121 HALS colorectal resections were analyzed. The median age of the patients was 62 years, with 63.6% being women. Seven patients required conversion to a midline laparotomy. Of the 121 patients, 50.2% were overweight or obese, and 52.9% had undergone previous abdominal/pelvic operations. However, neither obesity nor abdominal adhesions from previous operations were an indication for conversion to an open laparotomy in any of the 7 converted patients. The presence of intra-abdominal adhesions did not impact the operative time. HALS allowed access to the entire colon and rectum and allowed resection of the bladder, uterus, and ureter, when these organs were involved. Conclusion: HALS is a versatile, minimally invasive technique, which is independent of the patient’s BMI, for performing a colorectal resection.
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참고문헌 (20)
참고문헌 신청
Moloo H / 2010 / Hand assisted laparoscopic surgery versus conventional laparoscopy for colorectal surgery / Cochrane Database Syst Rev (10):CD006585
Kim H / 2013 / Should hand-assisted laparoscopic surgery be placed in the realm of minimally invasive surgery? / Ann Coloproctol 29:42~43
Schadde E / 2006 / Hand-assisted laparoscopic colorectal surgery (HALS) at a community hospital: a prospective analysis of 104 consecutive cases / Surg Endosc 20:1077~1082
Darzi A / 2001 / Hand-assisted laparoscopic colorectal surgery / Semin Laparosc Surg 8:153~160
Marcello PW / 2008 / Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial / Dis Colon Rectum 51:818~826
Kim H / 2013 / Should hand-assisted laparoscopic surgery be placed in the realm of minimally invasive surgery? / Ann Coloproctol 29:42~43
Schadde E / 2006 / Hand-assisted laparoscopic colorectal surgery (HALS) at a community hospital: a prospective analysis of 104 consecutive cases / Surg Endosc 20:1077~1082
Darzi A / 2001 / Hand-assisted laparoscopic colorectal surgery / Semin Laparosc Surg 8:153~160
Marcello PW / 2008 / Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial / Dis Colon Rectum 51:818~826
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