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PubMed · 9092105

Laparoscopic colectomy.

P S Paik·R W Beart
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Abstract

Laparoscopic treatments for benign colonic disease and as palliative operations for advanced malignant disease have gained widespread acceptance as safe, efficacious, and beneficial treatment options. There are also strong indications that laparoscopic treatment for malignant colorectal disease is a viable alternative in selective patients. Further studies with substantial follow-up to determine the adequacy of resection and the comparability of cure rates are needed to assess any changes in the long-term staging and survival patterns of these treatments.

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ColectomyColonic DiseasesColonic NeoplasmsHumansInflammatory Bowel DiseasesLaparoscopyRecurrenceJournal ArticleReview

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BibTeXRIS

P S Paik, R W Beart. 1997. Laparoscopic colectomy.. https://doi.org/10.1016/s0039-6109(05)70529-6

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Hand-assisted laparoscopic surgery.

HYPOTHESIS: Hand-assisted laparoscopic surgery (HALS) has been proposed as a useful alternative to conventional open or laparoscopic surgery. However, most information is fragmented and comes from specific or selective indications. To assess the current situation of HALS, a general overview of the fields of application, results, and quality of the evidence of these results is necessary. DATA SOURCES: Current English-language literature review. STUDY SELECTION: Case reports, series, and opinion articles on HALS. DATA EXTRACTION AND SYNTHESIS: Evaluation of the type of study and results. Most of the articles are short case series. Only a few comparative or randomized comparative trials on HALS for splenectomy and colectomy have been published. CONCLUSIONS: Hand-assisted laparoscopic surgery seems to be a promising technique that has been applied with success in a wide range of digestive tract-related surgical procedures. The main role is to help in difficult cases before conversion is necessary or for training unskilled surgeons, and not as an alternative to pure laparoscopic surgery. However, not enough evidence-based data are available to know exactly the final outcome of this technique in general surgery. Prospective randomized trials with established open or laparoscopic procedures are lacking, and these trials are needed to support the final role of HALS.

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