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首页> 外文期刊>Surgical Endoscopy >Hand-assisted laparoscopic surgery (HALS): a report of 150 procedures.
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Hand-assisted laparoscopic surgery (HALS): a report of 150 procedures.

机译：手动腹腔镜手术（HALS）：150例手术的报告。

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摘要

BACKGROUND: This study was performed to evaluate the (long-term) morbidity associated with hand-assisted laparoscopic surgery (HALS) for various indications. METHODS: HALS procedures for various indications were evaluated prospectively from 1995 to 2002. The primary outcome parameters were postsurgical complications and the development of incisional hernias. RESULTS: Twenty-six splenectomies, 51 hand-assisted laparoscopic donor nephrectomies (HLDN), 34 segmental bowel resections, 29 proctocolectomies, and 10 emergency colectomies were evaluated. A Kustner or Pfannenstiel incision was used for handport placement. Minor complications (i.e., wound complications, urinary tract infection) occurred in 15%, 12%, 26%, 7%, and 33% of the patients after, respectively, splenectomy, HLDN, bowel resection, proctocolectomy, and emergency colectomy. Major complications (i.e., hemorrhage, anastomotic leakage) occurred in 15% and 12% of the patients after, respectively, bowel resection and proctocolectomy. Incisional hernias occurred in six patients (4%), all after a wound complication in the Kustner incision. CONCLUSION: HALS is fast, safe, and feasible for various indications, especially HLDN and (procto-)colectomies. Little advantage can be expected when HALS is applied in splenectomy and segmental bowel (sigmoid) resection.
机译：摘要背景：本研究旨在评估与手辅助腹腔镜手术（HALS）相关的（长期）发病率的各种适应症。方法：从1995年至2002年对各种适应症的HALS程序进行了前瞻性评估。主要结局参数是术后并发症和切开疝的发生。结果：评估了26例脾切除术，51例手助腹腔镜供体肾切除术（HLDN），34例肠段切除术，29例肠结肠切除术和10例急诊肠切除术。使用Kustner或Pfannenstiel切口进行手口放置。在脾切除术，HLDN，肠切除术，结肠直肠切除术和急诊结肠切除术后，分别有15％，12％，26％，7％和33％的患者发生了轻微并发症（即伤口并发症，尿路感染）。肠切除和直肠结肠切除术后分别有15％和12％的患者发生主要并发症（即出血，吻合口漏）。在Kustner切口伤口并发症发生后，六名患者（4％）发生切口疝。结论：HALS对于各种适应症，尤其是HLDN和（procto-）colectomies，具有快速，安全和可行的作用。当将HALS应用于脾切除术和节段性肠（乙状结肠）切除术时，几乎没有优势。

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