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首页> 外文期刊>Surgical Endoscopy >Hand-assisted laparoscopic sigmoid resection for diverticular disease: 100 consecutive cases.
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Hand-assisted laparoscopic sigmoid resection for diverticular disease: 100 consecutive cases.

机译：手动腹腔镜乙状结肠切除术治疗憩室疾病：连续100例。

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BACKGROUND: Hand-assisted laparoscopic surgery (HALS) has been proposed as a useful alternative to conventional laparoscopic and open surgery. As compared with conventional laparoscopic surgery, it offers the advantages of tactile feedback, better exposure, and a shorter learning curve. There is increasing evidence that HALS retains the advantages of minimal-access surgery. The aim of this study was to analyze the feasibility as well as the short- and medium-term outcomes of HALS sigmoid resection for diverticular disease. METHODS: The study included 100 consecutive patients between July 1999 and August 2004. Data were prospectively recorded. Follow-up evaluation was performed by standardized telephone interview after a mean postoperative period of 19 months (range, 2-55 months). RESULTS: Two major intraoperative complications occurred: splenic laceration requiring splenectomy and ureteral injury requiring suture. There were only three conversions: one case of pararectal incision and two cases of extended lower Pfannestiel incision. There was no single case of conversion to midline laparotomy. One patient died postoperatively of myocardial infarction. The postoperative complications included intraabdominal hematoma (2%), anastomotic leakage (3%), wound infection (11%) and bladder dysfunction (1%). The reoperation rate was 5%. The median hospital stay was 8 days. In terms of satisfaction with the results, 97% of patients would choose HALS again. CONCLUSIONS: When used for diverticular disease, HALS sigmoid resection has a low intra- and postoperative complication rate. The satisfaction rate among patients is high. Even in technically difficult cases, conversion to midline laparotomy can be avoided.
机译：背景：手动腹腔镜手术（HALS）已被提议作为常规腹腔镜和开放手术的有用替代方法。与传统的腹腔镜手术相比，它具有触觉反馈，曝光更好，学习曲线更短的优点。越来越多的证据表明，HALS保留了微创手术的优势。这项研究的目的是分析HALS乙状结肠切除术治疗憩室病的可行性以及短期和中期结果。方法：该研究包括1999年7月至2004年8月之间的100例连续患者。前瞻性记录数据。术后平均随访19个月（范围2-55个月），通过标准化电话访谈进行随访评估。结果：发生了两个主要的术中并发症：脾裂伤需要脾切除术和输尿管损伤需要缝合。仅进行了三次转换：1例直肠旁切口和2例下下部Pfannestiel扩展切口。没有一例转换为中线剖腹手术。一名患者死于心肌梗死。术后并发症包括腹腔内血肿（2％），吻合口漏（3％），伤口感染（11％）和膀胱功能障碍（1％）。再次手术率为5％。中位住院时间为8天。在对结果的满意度方面，有97％的患者会再次选择HALS。结论：HALS乙状结肠切除术用于憩室疾病时，术中和术后并发症发生率较低。患者之间的满意度很高。即使在技术困难的情况下，也可以避免转换为中线剖腹手术。

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