Comparison of conventional laparoscopic and hand-assisted oncologic segmental colonic resection

C. Ringley, Y. K. Lee, A. Iqbal, V. Bocharev, A. Sasson, Corrigan L McBride, Jon S Thompson, M. L. Vitamvas, Dmitry Oleynikov

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: Laparoscopically assisted colon resection has evolved to be a viable option for the treatment of colorectal cancer. This study evaluates the efficacy of hand-assisted laparascopic surgery (HALS) as compared with totally laparoscopic surgery (LAP) for segmental oncologic colon resection with regard to lymph node harvest, operative times, intraoperative blood loss, pedicle length, incision length, and length of hospital stay in an attempt to help delineate the role of each in the treatment of colorectal cancer. Methods: Patient charts were retrospectively reviewed to acquire data for this evaluation. Between June 2001 and July 2005, 40 patients underwent elective oncologic segmental colon resection (22 HALS and 18 LAP). The main outcome measures included lymph node harvest, operative times, intraoperative blood loss, pedicle length, incision length, and length of hospital stay. Results: The two groups were comparable in terms of demographics. The tumor margins were clear in all the patients. The HALS resection resulted in a significantly higher lymph node yield than the LAP resection (HALS: 16 nodes; range, 5-35 nodes vs LAP: 8 nodes; range, 5-22 nodes; p < 0.05) and significantly shorter operative times (HALS: 120 min; range, 78-181 min vs LAP: 156 min; range, 74-300 min; p < 0.05). Both groups were comparable with regard to length of hospital stay, pedicle length, and intraoperative blood loss. However, the LAP group yielded a significantly smaller incision for specimen extraction (LAP: 7 cm; range, 6-8 cm vs HALS: 5.5 cm; range, 5-7 cm; p < 0.05). Conclusion: The findings suggest that hand-assisted laparoscopic oncologic segmental colonic resection is associated with shorter operative times, more lymph nodes harvested, and equivalent hospital stays, pedicle lengths, and intraoperative blood losses as compared with the totally laparoscopic approach. The totally laparoscopic technique was completed with a smaller incision. However, this less than 1 cm reduction in incision length has doubtful clinical significance.

Original languageEnglish (US)
Pages (from-to)2137-2141
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume21
Issue number12
DOIs
StatePublished - Dec 1 2007

Fingerprint

Length of Stay
Laparoscopy
Hand
Operative Time
Lymph Nodes
Colon
Colorectal Neoplasms
Hand-Assisted Laparoscopy
Naphazoline
Demography
Outcome Assessment (Health Care)
Therapeutics
Neoplasms

Keywords

  • Bowel
  • Clinical papers/trials/research
  • Colorectal cancer
  • Surgical technical
  • Technical

ASJC Scopus subject areas

  • Surgery

Cite this

Comparison of conventional laparoscopic and hand-assisted oncologic segmental colonic resection. / Ringley, C.; Lee, Y. K.; Iqbal, A.; Bocharev, V.; Sasson, A.; McBride, Corrigan L; Thompson, Jon S; Vitamvas, M. L.; Oleynikov, Dmitry.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 21, No. 12, 01.12.2007, p. 2137-2141.

Research output: Contribution to journalArticle

Ringley, C. ; Lee, Y. K. ; Iqbal, A. ; Bocharev, V. ; Sasson, A. ; McBride, Corrigan L ; Thompson, Jon S ; Vitamvas, M. L. ; Oleynikov, Dmitry. / Comparison of conventional laparoscopic and hand-assisted oncologic segmental colonic resection. In: Surgical Endoscopy and Other Interventional Techniques. 2007 ; Vol. 21, No. 12. pp. 2137-2141.
@article{b8c1591927634b319eafd53bead3cba1,
title = "Comparison of conventional laparoscopic and hand-assisted oncologic segmental colonic resection",
abstract = "Background: Laparoscopically assisted colon resection has evolved to be a viable option for the treatment of colorectal cancer. This study evaluates the efficacy of hand-assisted laparascopic surgery (HALS) as compared with totally laparoscopic surgery (LAP) for segmental oncologic colon resection with regard to lymph node harvest, operative times, intraoperative blood loss, pedicle length, incision length, and length of hospital stay in an attempt to help delineate the role of each in the treatment of colorectal cancer. Methods: Patient charts were retrospectively reviewed to acquire data for this evaluation. Between June 2001 and July 2005, 40 patients underwent elective oncologic segmental colon resection (22 HALS and 18 LAP). The main outcome measures included lymph node harvest, operative times, intraoperative blood loss, pedicle length, incision length, and length of hospital stay. Results: The two groups were comparable in terms of demographics. The tumor margins were clear in all the patients. The HALS resection resulted in a significantly higher lymph node yield than the LAP resection (HALS: 16 nodes; range, 5-35 nodes vs LAP: 8 nodes; range, 5-22 nodes; p < 0.05) and significantly shorter operative times (HALS: 120 min; range, 78-181 min vs LAP: 156 min; range, 74-300 min; p < 0.05). Both groups were comparable with regard to length of hospital stay, pedicle length, and intraoperative blood loss. However, the LAP group yielded a significantly smaller incision for specimen extraction (LAP: 7 cm; range, 6-8 cm vs HALS: 5.5 cm; range, 5-7 cm; p < 0.05). Conclusion: The findings suggest that hand-assisted laparoscopic oncologic segmental colonic resection is associated with shorter operative times, more lymph nodes harvested, and equivalent hospital stays, pedicle lengths, and intraoperative blood losses as compared with the totally laparoscopic approach. The totally laparoscopic technique was completed with a smaller incision. However, this less than 1 cm reduction in incision length has doubtful clinical significance.",
keywords = "Bowel, Clinical papers/trials/research, Colorectal cancer, Surgical technical, Technical",
author = "C. Ringley and Lee, {Y. K.} and A. Iqbal and V. Bocharev and A. Sasson and McBride, {Corrigan L} and Thompson, {Jon S} and Vitamvas, {M. L.} and Dmitry Oleynikov",
year = "2007",
month = "12",
day = "1",
doi = "10.1007/s00464-007-9401-y",
language = "English (US)",
volume = "21",
pages = "2137--2141",
journal = "Surgical Endoscopy and Other Interventional Techniques",
issn = "0930-2794",
publisher = "Springer New York",
number = "12",

}

TY - JOUR

T1 - Comparison of conventional laparoscopic and hand-assisted oncologic segmental colonic resection

AU - Ringley, C.

AU - Lee, Y. K.

AU - Iqbal, A.

AU - Bocharev, V.

AU - Sasson, A.

AU - McBride, Corrigan L

AU - Thompson, Jon S

AU - Vitamvas, M. L.

AU - Oleynikov, Dmitry

PY - 2007/12/1

Y1 - 2007/12/1

N2 - Background: Laparoscopically assisted colon resection has evolved to be a viable option for the treatment of colorectal cancer. This study evaluates the efficacy of hand-assisted laparascopic surgery (HALS) as compared with totally laparoscopic surgery (LAP) for segmental oncologic colon resection with regard to lymph node harvest, operative times, intraoperative blood loss, pedicle length, incision length, and length of hospital stay in an attempt to help delineate the role of each in the treatment of colorectal cancer. Methods: Patient charts were retrospectively reviewed to acquire data for this evaluation. Between June 2001 and July 2005, 40 patients underwent elective oncologic segmental colon resection (22 HALS and 18 LAP). The main outcome measures included lymph node harvest, operative times, intraoperative blood loss, pedicle length, incision length, and length of hospital stay. Results: The two groups were comparable in terms of demographics. The tumor margins were clear in all the patients. The HALS resection resulted in a significantly higher lymph node yield than the LAP resection (HALS: 16 nodes; range, 5-35 nodes vs LAP: 8 nodes; range, 5-22 nodes; p < 0.05) and significantly shorter operative times (HALS: 120 min; range, 78-181 min vs LAP: 156 min; range, 74-300 min; p < 0.05). Both groups were comparable with regard to length of hospital stay, pedicle length, and intraoperative blood loss. However, the LAP group yielded a significantly smaller incision for specimen extraction (LAP: 7 cm; range, 6-8 cm vs HALS: 5.5 cm; range, 5-7 cm; p < 0.05). Conclusion: The findings suggest that hand-assisted laparoscopic oncologic segmental colonic resection is associated with shorter operative times, more lymph nodes harvested, and equivalent hospital stays, pedicle lengths, and intraoperative blood losses as compared with the totally laparoscopic approach. The totally laparoscopic technique was completed with a smaller incision. However, this less than 1 cm reduction in incision length has doubtful clinical significance.

AB - Background: Laparoscopically assisted colon resection has evolved to be a viable option for the treatment of colorectal cancer. This study evaluates the efficacy of hand-assisted laparascopic surgery (HALS) as compared with totally laparoscopic surgery (LAP) for segmental oncologic colon resection with regard to lymph node harvest, operative times, intraoperative blood loss, pedicle length, incision length, and length of hospital stay in an attempt to help delineate the role of each in the treatment of colorectal cancer. Methods: Patient charts were retrospectively reviewed to acquire data for this evaluation. Between June 2001 and July 2005, 40 patients underwent elective oncologic segmental colon resection (22 HALS and 18 LAP). The main outcome measures included lymph node harvest, operative times, intraoperative blood loss, pedicle length, incision length, and length of hospital stay. Results: The two groups were comparable in terms of demographics. The tumor margins were clear in all the patients. The HALS resection resulted in a significantly higher lymph node yield than the LAP resection (HALS: 16 nodes; range, 5-35 nodes vs LAP: 8 nodes; range, 5-22 nodes; p < 0.05) and significantly shorter operative times (HALS: 120 min; range, 78-181 min vs LAP: 156 min; range, 74-300 min; p < 0.05). Both groups were comparable with regard to length of hospital stay, pedicle length, and intraoperative blood loss. However, the LAP group yielded a significantly smaller incision for specimen extraction (LAP: 7 cm; range, 6-8 cm vs HALS: 5.5 cm; range, 5-7 cm; p < 0.05). Conclusion: The findings suggest that hand-assisted laparoscopic oncologic segmental colonic resection is associated with shorter operative times, more lymph nodes harvested, and equivalent hospital stays, pedicle lengths, and intraoperative blood losses as compared with the totally laparoscopic approach. The totally laparoscopic technique was completed with a smaller incision. However, this less than 1 cm reduction in incision length has doubtful clinical significance.

KW - Bowel

KW - Clinical papers/trials/research

KW - Colorectal cancer

KW - Surgical technical

KW - Technical

UR - http://www.scopus.com/inward/record.url?scp=36248930940&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=36248930940&partnerID=8YFLogxK

U2 - 10.1007/s00464-007-9401-y

DO - 10.1007/s00464-007-9401-y

M3 - Article

C2 - 17522925

AN - SCOPUS:36248930940

VL - 21

SP - 2137

EP - 2141

JO - Surgical Endoscopy and Other Interventional Techniques

JF - Surgical Endoscopy and Other Interventional Techniques

SN - 0930-2794

IS - 12

ER -