PDF(Pubmed)
Abstract：
UNASSIGNED: Hand-assisted laparoscopic surgery (HALS) combines the benefits of laparoscopic surgery with the tactile feedback from open surgery. In the current era of laparoscopic surgery, the significance of HALS as a technical transition has diminished. This study clarified the usefulness of HALS in restorative proctocolectomy (RPC) for ulcerative colitis (UC) in the era of laparoscopic surgery.
UNASSIGNED: The 212 patients who underwent RPC with ileal pouch-anal anastomosis between 2007 and 2023 were included in this study. The patients were divided into three groups, open surgery (OS), HALS, and conventional laparoscopic surgery (LAP), and their characteristics, surgical outcomes, surgical complications, and functional outcomes were compared.
UNASSIGNED: The number of surgical techniques was OS in 21 cases, HALS in 184 cases, and LAP in 7 cases. The number of surgeons was two for OS and HALS, and four for LAP, with OS and HALS having fewer surgeons than LAP. The length of the skin incision was 13, 7, and 3 cm for OS, HALS, and LAP, respectively, and the operation times was 250, 286, and 576 minutes for OS, HALS, and LAP, respectively, with LAP having the longest operation time. The postoperative complications and function did not differ markedly among the three groups.
UNASSIGNED: In RPC for UC, HALS involved fewer surgeons and a shorter operative time than LAP. Even in the era of laparoscopic surgery, HALS remains a useful option, especially when a shorter operation time is required or when the number of available surgeons is insufficient.
UNASSIGNED: The 212 patients who underwent RPC with ileal pouch-anal anastomosis between 2007 and 2023 were included in this study. The patients were divided into three groups, open surgery (OS), HALS, and conventional laparoscopic surgery (LAP), and their characteristics, surgical outcomes, surgical complications, and functional outcomes were compared.
UNASSIGNED: The number of surgical techniques was OS in 21 cases, HALS in 184 cases, and LAP in 7 cases. The number of surgeons was two for OS and HALS, and four for LAP, with OS and HALS having fewer surgeons than LAP. The length of the skin incision was 13, 7, and 3 cm for OS, HALS, and LAP, respectively, and the operation times was 250, 286, and 576 minutes for OS, HALS, and LAP, respectively, with LAP having the longest operation time. The postoperative complications and function did not differ markedly among the three groups.
UNASSIGNED: In RPC for UC, HALS involved fewer surgeons and a shorter operative time than LAP. Even in the era of laparoscopic surgery, HALS remains a useful option, especially when a shorter operation time is required or when the number of available surgeons is insufficient.
摘要：
■手助腹腔镜手术（HALS）将腹腔镜手术的益处与开放手术的触觉反馈相结合。在当前的腹腔镜手术时代，HALS作为技术转型的重要性已经减弱。这项研究阐明了HALS在腹腔镜手术时代溃疡性结肠炎（UC）的恢复性直肠结肠切除术（RPC）中的有用性。
■在2007年至2023年之间接受回肠袋-肛门吻合术的212例患者被纳入本研究。患者分为三组，开放手术（OS），HALS,和传统的腹腔镜手术（LAP），和它们的特点，手术结果,手术并发症,和功能结果进行了比较。
■21例手术技术为OS，HALS在184例病例中，和LAP在7个案例中。OS和HALS的外科医生人数为两名，四个是LAP，OS和HALS的外科医生比LAP少。OS的皮肤切口长度为13、7和3cm，HALS,和LAP，分别,操作系统的操作时间为250、286和576分钟，HALS,和LAP，分别,LAP具有最长的操作时间。三组患者术后并发症及功能无明显差异。
■在UC的RPC中，HALS比LAP涉及更少的外科医生和更短的手术时间。即使在腹腔镜手术时代，HALS仍然是一个有用的选择，特别是当需要较短的手术时间或可用的外科医生数量不足时。
■在2007年至2023年之间接受回肠袋-肛门吻合术的212例患者被纳入本研究。患者分为三组，开放手术（OS），HALS,和传统的腹腔镜手术（LAP），和它们的特点，手术结果,手术并发症,和功能结果进行了比较。
■21例手术技术为OS，HALS在184例病例中，和LAP在7个案例中。OS和HALS的外科医生人数为两名，四个是LAP，OS和HALS的外科医生比LAP少。OS的皮肤切口长度为13、7和3cm，HALS,和LAP，分别,操作系统的操作时间为250、286和576分钟，HALS,和LAP，分别,LAP具有最长的操作时间。三组患者术后并发症及功能无明显差异。
■在UC的RPC中，HALS比LAP涉及更少的外科医生和更短的手术时间。即使在腹腔镜手术时代，HALS仍然是一个有用的选择，特别是当需要较短的手术时间或可用的外科医生数量不足时。
