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Objective To compare the short-term clinical outcomes of hand-assisted laparoscopic surgery(HALS),laparoscopic-assisted surgery (LAS)and open surgery(OS)for colorectal cancer treatment. Methods The clinical data of 74 patients underwent HALS,LAS and OS for colorectal cancer treatment between October 2011 and December 2015 were assessed retrospectively. All the surgeries were performed by the same surgical team. The intraoperative details,postoperative recovery,postoperative complications,oncologic results and cost were compared among the three groups. Results A total of 24 patients in HALS group,25 patients in LAS group and 25 patients in OS group were finally included. The gen-eral data and oncologic baseline were comparable among the three groups. The comparative results showed that the operative time increase d and in-cision length shortened gradually in OS group,HALS group and LAS group(P0.05). In terms of post-operative recovery,postoperative complications and oncologic results,there was no statistical difference between the three groups(P>0.05). As for cost,the total cost and operative cost of OS group were lower than HALS group and LAS group(P0.05). The material cost increase gradually in OS group ,HALS group and LAS group(P0.05). Conclusion HALS,LAS and OS are compen-satory with each other,and clinicians can choose the reasonable procedure according to personal proficiency and situation of patients.
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OBJECTIVE: Investigation of initial 51 cases of single port access (SPA) laparoscopic surgery for large adnexal tumors and evaluation of safety and feasibility of the surgical technique. METHODS: We retrospectively reviewed the medical records of the first 51 patients who received SPA laparoscopic surgery for large adnexal tumors greater than 10 cm, from July 2010 to February 2015. RESULTS: SPA adnexal surgeries were successfully completed in 51 patients (100%). The mean age, body mass index of the patients were 43.1 years and 22.83 kg/m², respectively. The median operative time, median blood loss were 73.5 (range, 20 to 185) minutes, 54 (range, 5 to 500) mL, and the median tumor diameter was 13.6 (range, 10 to 30) cm. The procedures included bilateral salpingo-oophorectomy (n=18, 36.0%), unilateral salpingo-oophorectomy (n=14, 27.45%), and paratubal cystectomy (n=1, 1.96%). There were no cases of malignancy and none were insertion of additional ports or conversion to laparotomy. The cases with intraoperative spillage were 3 (5.88%) and benign cystic tumors. No other intraoperative and postoperative complications were observed during hospital days and 6-weeks follow-up period after discharge. CONCLUSION: Our results suggest that SPA laparoscopic surgery for large adnexal tumors may be a safe and feasible alternative to conventional laparoscopic surgery.
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Female , Humans , Body Mass Index , Cystectomy , Follow-Up Studies , Laparoscopy , Laparotomy , Medical Records , Minimally Invasive Surgical Procedures , Operative Time , Ovary , Postoperative Complications , Retrospective StudiesABSTRACT
Procurou-se comparar duas técnicas de ovariosalpingohisterectomia (OSH): vídeo-assistida com dois portais e convencional em cadelas, ambas com o uso de equipamento Ligasure atlas®. Para tanto, foram utilizados 18 animais separados em dois grupos, sendo no primeiro grupo realizada a OSH por celiotomia e no segundo pelo acesso vídeo-assistido. Os procedimentos videocirúrgicos foram realizados por meio de dois trocartes dispostos nas regiões umbilical e pré-púbica, com os cães posicionados em decúbito dorsal. Em ambos os grupos, o único método de hemostasia empregado foi o Ligasure atlas®. Não houve diferença significativa acerca do tempo operatório, das complicações trans e pós-operatórias e das perdas sanguíneas. Conclui-se que a OSH vídeo-assistida com o uso de dois portais e Ligasure atlas® e a técnica convencional com o emprego do mesmo equipamento são rápidas, seguras e efetivas em cadelas.
In this study the authors compared two different procedures of ovariosalpingohysterectomy (OSH) in dogs. For that, 18 dogs were randomly assigned into 2 different groups: group I (GI) in which the OSH was performed by celiotomy and group II (GII) in which it was a video-assisted procedure using two portals positioned in the umbilical and pre pubic regions, under dorsal recumbence position. In both groups the method of hemostasis was the Ligasure atlas®. The authors did not observe significant differences between both methods for the surgical time or complications during and after the surgical procedure and blood loss. It was concluded that OSH using video-assisted surgery with two portals and the conventional technique, both using Ligasure atlas® are safe, fast and effective to be used in dogs.
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Objective To evaluate the feasibility and effectiveness of laparoscopic-assisted modified Swenson’s operation for Hirschsprung’s disease in infants. Methods A total of 13 infants with Hirschsprung’s disease including 11 males and 2 females were treated by laparoscopic-assisted modified Swenson’s surgery. Three- or four-trocar technique was used under a CO2 pressure of 8-10 mm Hg. The seromuscular layer of the colon was obtained for pathological examination. The mesenteries of the sigmoid colon and rectum were dissected by Ligasure, and the rectum was dissected down to 0.5-1.0 cm above the dentate line. Through the anus, the angusty and transmigration segment of the intestinal canal were evaginated, pulled out, and resected. Whole-layer colon-rectum anastomosis was performed,?21 mm stapler was used in 3 cases. Results All the operations were completed with laparoscopy in 85-161 min (mean, 115 min). The blood loss was less than 12 ml in all the patients. No intraoperative complications occurred. After the operation, 3 patients developed intestinal inflammation, 1 had anastomotic leakage, and 1 feces stain. All the compilations were cured by conservative treatments. The patients were followed up for 6 to 42 months (mean, 26 months), during which no one had complications. Conclusion Laparoscopic-assisted modified Swenson’s operation is feasible and effective for Hirschsprung’s disease in infants.