BACKGROUND: Laparoscopic colorectal surgery (LAP) has become more prevalent as evidence of its safety and benefits become apparent. However, in difficult cases, hand-assisted instrumentation has facilitated LAP. We examined the impact of hand-assisted laparoscopic surgery (HALS) on the treatment of sigmoid diverticular disease. METHODS: This is a retrospective study using a prospectively maintained database from January 1, 2000 through November 30, 2005. Patients were divided into 3 groups: open (n = 110), LAP (n = 17), and HALS (n = 98). Data include operative time, length of stay, surgical method, conversion rate, and reasons for conversion. RESULTS: Surgeries started as LAP were completed in that fashion 59% of the time, with 23% being converted to open and 18% converted to HALS (total 41%). HALS cases showed a 6% conversion rate to open surgery (OS). Duration of surgery and length of stay were similar between LAP and HALS. CONCLUSIONS: HALS should be considered the optimal approach for surgery for diverticular disease.
BACKGROUND: Laparoscopic colorectal surgery (LAP) has become more prevalent as evidence of its safety and benefits become apparent. However, in difficult cases, hand-assisted instrumentation has facilitated LAP. We examined the impact of hand-assisted laparoscopic surgery (HALS) on the treatment of sigmoid diverticular disease. METHODS: This is a retrospective study using a prospectively maintained database from January 1, 2000 through November 30, 2005. Patients were divided into 3 groups: open (n = 110), LAP (n = 17), and HALS (n = 98). Data include operative time, length of stay, surgical method, conversion rate, and reasons for conversion. RESULTS: Surgeries started as LAP were completed in that fashion 59% of the time, with 23% being converted to open and 18% converted to HALS (total 41%). HALS cases showed a 6% conversion rate to open surgery (OS). Duration of surgery and length of stay were similar between LAP and HALS. CONCLUSIONS: HALS should be considered the optimal approach for surgery for diverticular disease.
Authors: Muhammed R S Siddiqui; Muhammed S Sajid; Kamran Khatri; Elizabeth Cheek; Mirza K Baig Journal: World J Surg Date: 2010-12 Impact factor: 3.352
Authors: Harold J Leraas; Cecilia T Ong; Zhifei Sun; Mohamed A Adam; Jina Kim; Brian F Gilmore; Brian Ezekian; Uttara S Nag; Christopher R Mantyh; John Migaly Journal: J Gastrointest Surg Date: 2017-01-12 Impact factor: 3.452
Authors: Ryan S Turley; Andrew S Barbas; Michael E Lidsky; Christopher R Mantyh; John Migaly; John E Scarborough Journal: Dis Colon Rectum Date: 2013-01 Impact factor: 4.585