Comparison of postoperative outcomes between hand-assisted laparoscopic and conventional sigmoidectomy: a prospective non-randomized controlled trial
Zhang, X.; Li, M.; Zhan, T.; Zhang, D.; Gao, Z.; Yao, Y.; Peng, Y.; Zhao, J.; Gu, J.
Zhonghua Wei Chang Wai Ke Za Zhi 18(5): 442-445
2015
ISSN/ISBN: 1671-0274 PMID: 26013860 Document Number: 680227
To compare the perioperative safety and efficacy between hand-assisted laparoscopic surgery(HALS) and conventional open sigmoidectomy. A total of 291 patients with sigmoid colon cancer who underwent surgery in our hospital from January 2010 to June 2013 were seperated into (HALS) group (n=200) and conventional open surgery (COS) group (n=91) with a non-randomized method. The perioperative safety and efficacy of two groups and perioperative outcomes were compared. These two groups were comparable in operative time, lymph node harvest, and postoperative complications. However, HALS group had less intraoperative bleeding [(57.9±28.3) ml vs. (82.5±47.6) ml, P=0.000], shorter time to flatus [(3.0±1.4) d vs. (3.3±0.9) d, P=0.000], and shorter hospital stay [(7.3±4.2) d vs. (8.9±4.4) d, P=0.004]. There werer no significant differences in overall survival time and disease-free survival time between the two groups during 6 months to 3 years follow-up. HALS results in similar outcomes of conventional open surgery for sigmoidectomy with the advantage of minimal invasiveness.