Comparison of postoperative outcomes between hand-assisted laparoscopic and conventional sigmoidectomy: a prospective non-randomized controlled trial / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 442-445, 2015.
Artigo
em Chinês
| WPRIM
| ID: wpr-260336
ABSTRACT
<p><b>OBJECTIVE</b>To compare the perioperative safety and efficacy between hand-assisted laparoscopic surgery(HALS) and conventional open sigmoidectomy.</p><p><b>METHODS</b>A total of 291 patients with sigmoid colon cancer who underwent surgery in our hospital from January 2010 to June 2013 were seperated into (HALS) group (n=200) and conventional open surgery (COS) group (n=91) with a non-randomized method. The perioperative safety and efficacy of two groups and perioperative outcomes were compared.</p><p><b>RESULTS</b>These two groups were comparable in operative time, lymph node harvest, and postoperative complications. However, HALS group had less intraoperative bleeding [(57.9±28.3) ml vs. (82.5±47.6) ml, P=0.000], shorter time to flatus [(3.0±1.4) d vs. (3.3±0.9) d, P=0.000], and shorter hospital stay [(7.3±4.2) d vs. (8.9±4.4) d, P=0.004]. There werer no significant differences in overall survival time and disease-free survival time between the two groups during 6 months to 3 years follow-up.</p><p><b>CONCLUSIONS</b>HALS results in similar outcomes of conventional open surgery for sigmoidectomy with the advantage of minimal invasiveness.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Período Pós-Operatório
/
Neoplasias do Colo Sigmoide
/
Estudos Prospectivos
/
Resultado do Tratamento
/
Colectomia
/
Intervalo Livre de Doença
/
Laparoscopia Assistida com a Mão
/
Duração da Cirurgia
/
Tempo de Internação
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo observacional
Limite:
Humanos
Idioma:
Chinês
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2015
Tipo de documento:
Artigo
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