+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Hand-assisted laparoscopic surgery vs standard laparoscopic surgery for colorectal disease: a prospective randomized trial. HALS Study Group



Hand-assisted laparoscopic surgery vs standard laparoscopic surgery for colorectal disease: a prospective randomized trial. HALS Study Group



Surgical Endoscopy 14(10): 896-901



We compare the use of the HandPort(TM)device in hand-assisted laparoscopic surgery (HALS) to standard laparoscopic surgery (SLS) in the treatment of colorectal disease. A prospective, randomized, multicenter study was conducted with the participation of 10 advanced laparoscopic surgeons. Forty patients with indications for elective resection of benign colorectal disease or incurable malignant disease were randomized to one of the two treatment arms (22 HALS, 18 SLS). Main outcome measures included operative time, blood loss, HandPort(TM) performance, postoperative pain, time to oral intake, return of bowel function, length of stay, morbidity, and functional recovery. The patients in each group were similar with regard to age, sex, weight, diagnosis, coexisting medical disease, and preoperative functional status. Operative time was comparable for hand-assisted laparoscopy (152 +/- 66 min) and standard laparoscopy (141 +/- 54 min) (p = 0.58). Incision length for specimen extraction/bowel anastomosis was similar (HALS 7.4 cm vs SLS 7.0 cm). Three of 22 HALS cases (14%) were converted, as compared with four of 18 (22%) in the laparoscopy group (p = 0.68). Return of bowel function occurred by the 3rd postoperative day for the majority of patients in both groups (HALS 77%, SLS 78%). There was no difference in length of stay (HALS 7.0 days [range, 2-12] vs SLS 6.0 days [range, 2-10], p = 0.25). Severity of postoperative pain and rate of functional recovery were equivalent. One major complication occurred in each group. There were three wound infections in the laparoscopy group. No patient required reoperation, and there were no deaths. Hand-assisted laparoscopic surgery is safe and effective for benign and noncurative colorectal resection. As compared to standard laparoscopic surgery, hand-assisted laparoscopy retains the benefits of minimally invasive surgery and may allow the surgeon to perform complex operations more easily.

(PDF emailed within 1 workday: $29.90)

Accession: 046211084

Download citation: RISBibTeXText

PMID: 11080399


Related references

Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial. Diseases of the Colon and Rectum 51(6): 818-26; Discussion 826-8, 2008

Hand-Assisted Laparoscopic vs. Laparoscopic Colorectal Surgery: A Multicenter, Prospective, Randomized Trial. Yearbook of Surgery 2009: 261-262, 2009

Hand-assisted laparoscopic colorectal surgery (HALS) at a community hospital: a prospective analysis of 104 consecutive cases. Surgical Endoscopy 20(7): 1077-1082, 2006

T1637 Single Incision Laparoscopic Surgery (Sils) Versus Hand Assisted Laparoscopic Surgery (Hals): A Case-Matched Series. Gastroenterology 138(5): S-884, 2010

Hand-assisted laparoscopic surgery (HALS) for live donor nephrectomy is more time- and cost-effective than standard laparoscopic nephrectomy. Surgical Endoscopy 16(3): 422-425, 2002

Use of the surgical towel in colorectal hand-assisted laparoscopic surgery (HALS). Surgical Endoscopy 18(3): 552-553, 2004

Hand-assisted laparoscopic technique (HALS) in colorectal surgery (Case reports and review of the literature). Magyar Sebeszet 54(4): 230-234, 2001

Hand-assisted laparoscopic surgery (HALS): a bridge to complex laparoscopic procedures. Jsls 9(2): 123-124, 2005

Hand-assisted laparoscopic surgery (HALS): a useful technique for complex laparoscopic abdominal procedures. Journal of Laparoendoscopic and Advanced Surgical Techniques. Part a 8(3): 143-150, 1998

Ultrasonic versus standard electric dissection in laparoscopic colorectal surgery: a prospective randomized clinical trial. Annals of Surgery 242(6): 897-901, Discussion 901, 2005

Comparison of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy in patients with colorectal cancer: Final results from a single center. Oncology Letters 13(6): 4953-4958, 2017

Hand-Assisted Laparoscopic Surgery Versus Conventional Laparoscopic Surgery for Colorectal Cancer: A Systematic Review and Meta-Analysis. Journal of Laparoendoscopic and Advanced Surgical Techniques. Part a 27(12): 1251-1262, 2017

Hand-assisted laparoscopic surgery--HALS. Jsls 5(2): 101-103, 2001

Hand-Assisted Laparoscopic Surgery (Hals) With the HandPort System. Annals of Surgery 231(5): 715-723, 2000

Hand-assisted laparoscopic surgery (HALS): a report of 150 procedures. Surgical Endoscopy 18(3): 397-401, 2004