Hand-Assisted Laparoscopic vs. Laparoscopic Colorectal Surgery: A Multicenter, Prospective, Randomized Trial

• DOI: 10.1007/s10350-008-9269-5
• Publication Date: 2008-04-16T17:06:59Z
• Authors: Peter W. Marcello; James W. Fleshman; Jeffrey W. Milsom; Thomas E. Read; Tracey D. Arnell; Elisa H. Birnbaum; Daniel L. Feingold; Sang W. Lee; Matthew G. Mutch; Toyooki Sonoda; Yan Yan; Richard L. Whelan
• Keywords: Colorectal Surgery

This study was designed to compare short-term outcomes after hand-assisted laparoscopic vs. straight colorectal surgery.Eleven surgeons at five centers participated in a prospective, randomized trial of patients undergoing elective sigmoid/left colectomy and total colectomy. The powered detect 30-minute reduction operative time between groups.There were 47 (33 colectomy, 14 colectomy) 48 15 colectomy). There no differences the patient age, sex, body mass index, previous surgery, diagnosis, procedures performed groups. Resident participation similar for all mean (in minutes) significantly less group both sigmoid (175 +/- 58 208 55; P = 0.021) groups (time completion, 127 31 184 72; 0.015). apparent return bowel function, tolerance diet, length stay, postoperative pain scores, or narcotic usage one (2 percent) conversion six (12.5 (P 0.11). Complications (hand-assisted, 21 percent laparoscopic, 19 percent; 0.68).In this study, surgery resulted shorter times while maintaining clinical as techniques left-sided abdominal