Comparison of Short-term Follow-up Results of Open, Laparoscopic and Hand-assisted Laparoscopic Colectomy in Colorectal Cancer

Kyung Sook Hong; Kyoung Tae Noh; Boyoung Oh; Ryung-Ah Lee; Soon-Sup Chung; Kwang Ho Kim

doi:10.12771/emj.2011.34.2.19

Journal List > Ewha Med J > v.34(2) > 1058516

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Hong, Noh, Oh, Lee, Chung, and Kim: Comparison of Short-term Follow-up Results of Open, Laparoscopic and Hand-assisted Laparoscopic Colectomy in Colorectal Cancer

Original Article

The Ewha Medical Journal

The Ewha Medical Journal 2011; 34(2): 19-26.

Published online: 30 September 2011

DOI: https://doi.org/10.12771/emj.2011.34.2.19

Comparison of Short-term Follow-up Results of Open, Laparoscopic and Hand-assisted Laparoscopic Colectomy in Colorectal Cancer

Kyung Sook Hong, Kyoung Tae Noh, Boyoung Oh, Ryung-Ah Lee, Soon-Sup Chung, Kwang Ho Kim

Department of Surgery, College of Medicine, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author (eastgate@ewha.ac.kr)

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

Hand-assisted laparoscopic surgery had both technical advantages of open surgery and better postoperative short-term follow-up results of laparoscopic surgery. We compared open colectomy, laparoscopic colectomy and hand-assisted laparoscopic colectomy, and tried to find the most effective operative modality.

Methods

90 patients, who were diagnosed with colorectal cancer and underwent colectomy in our institution, were categorized as 3 groups of open colectomy (OC) group, laparoscopic colectomy (LC) group and hand-assisted laparoscopic colectomy (HALC) group by the surgical modality.

Results

In this study, ratio of male and female was 57 : 37, and mean age was 64.1 years old. LC group and HALC group showed longer operation time, shorter hospital stay after operation, lesser pain and earlier removal of closed drainage catheter than OC group. Amount of bleeding during operation, frequency of transfusion and incidence of complication showed no significant difference. In permanent pathologic results, the number of harvested lymph nodes had significant difference between OC group and other groups (P=0.030), but it was probably caused by the bias of the different distribution of the stages in each group. Overall 14 of the cases resulted in complications while there was no mortality.

Conclusion

Laparoscopic colectomy and hand-assisted laparoscopic colectomy showed better short-term follow-up results rather than open colectomy. And hand-assisted laparoscopic surgery could provide tactile sensation to operator, which lacked in laparoscopic surgery. Hand-assisted laparoscopic colectomy could be an alternative surgical option for colorectal cancer with these advantages.

Keywords: Colorectal cancer, Colectomy, Laparoscopy, Hand-assisted laparoscopic surgery

Figures and Tables

Table 1

History of previous abdominal operation in subgroups

^*OC, open colectomy; ^†LC, laparoscopic colectomy; ^‡HALC, hand-assisted laparoscopic colectomy.

Table 2

The character of patients

^*OC, open colectomy; ^†LC, laparoscopic colectomy; ^‡HALC, hand-assisted laparoscopic colectomy; ^§Preop., preoperative; ^∥op., operation; ^¶RBC, red blood cell.

Table 3

The operation name in subgroups

^*HAL, hand-assisted laparoscopic.

Table 4

The location of tumors in subgroups

^*OC, open colectomy; ^†LC, laparoscopic colectomy; ^‡HALC, hand-assisted laparoscopic colectomy.

Table 5

The pathologic result in subgroups

^*OC, open colectomy; ^†LC, laparoscopic colectomy; ^‡HALC, hand-assisted laparoscopic colectomy.

Table 6

Postoperative complications in subgroups

^*OC, open colectomy; ^†LC, laparoscopic colectomy; ^‡HALC, hand-assisted laparoscopic colectomy; ^§Pleural effusion, combined with pneumonia in one person.

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