caa a22 4500 606207228 CHVBK 20210128101015.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10353-015-0341-9 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0341-9 Hand-assisted laparoscopic surgery for left sided colorectal cancer: is quality of surgery related with experience? [Elektronische Daten] [A. Dulskas, N. E. Samalavicius, R. K. Gupta, V. Zabulis, R. S. Samalavicius, J. Kutkauskiene, R. Escalante] Summary: Introduction: Hand-assisted laparoscopic colectomy (HALC) is an alternative technique to conventional laparoscopic surgery: it is technically easier, learning curve, and operative time is shorter. Our aim was to determine how operative and postoperative results are affected gaining the experience. Methods: A prospectively maintained database was used to identify all patients who underwent HALC for left-sided colorectal cancer by a single surgeon at the Institute of Oncology, Vilnius University, from April 2006 to December 2013. They were analyzed as two consecutive equal groups: first 100 and next 100 patients. Operative time and quality-related outcomes, including conversions, operative, and postoperative complications, length of hospital stay and reoperations were compared. Results: A total of 200 HALC were performed. There were no significant differences between the two groups in terms of age, sex, cancer stage, body mass index, operative procedures, comorbidities, prior surgical experience. Conversion rate was similar between the two groups: 3 (2.9 %) versus 3 (2.9 %), p > 0.05. Group 2 showed significantly shorter operative time: 129 ± 49.5 versus 98 ± 35.8min, p < 0.05; and length of hospital stay: 8.1 ± 4.3 versus 6.5 ± 3.2 days, p < 0.05. The rate of complications was not significantly higher in group 1: 14(14 %) versus 9 (9 %), p > 0.05. Conclusions: HALC operative time and postoperative hospital stay decreased with surgeon experience. For quality-related outcomes, HALC had no learning curve. Springer-Verlag Wien, 2015 Hand-assisted laparoscopic surgery nationallicence Laparoscopic left-sided colectomy nationallicence Outcomes nationallicence Colorectal cancer nationallicence Dulskas A. Institute of Oncology, Vilnius University, Santariskiu Street, LT-08406, Vilnius, Lithuania aut Samalavicius N. E. Institute of Oncology, Vilnius University, Santariskiu Street, LT-08406, Vilnius, Lithuania aut Gupta R. K. Department of Surgery, Gastrointestinal Unit, B.P. Koirala Institute of Health Sciences, Dharan, Nepal aut Zabulis V. Department of Cardiovascular Disease, Vilnius University, Santariskiu Street 2, LT-08661, Vilnius, Lithuania aut Samalavicius R. S. Second Department of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santariskiu Clinics, Santariskiu Street 2, LT-08661, Vilnius, Lithuania aut Kutkauskiene J. Faculty of Law, Law Philosophy and Law History Department, Mykolas Romeri University, Ateities Street 20, LT-08303, Vilnius, Lithuania aut Escalante R. Departament of Surgery, Medical Centre of Loira, Av. Loira. Caracas, Venezuela aut European Surgery Springer Vienna 47/5(2015-10-01), 238-242 1682-8631 47:5<238 2015 47 10353 https://doi.org/10.1007/s10353-015-0341-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0341-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dulskas A. Institute of Oncology, Vilnius University, Santariskiu Street, LT-08406, Vilnius, Lithuania aut NATIONALLICENCE 700 1- Samalavicius N. E. Institute of Oncology, Vilnius University, Santariskiu Street, LT-08406, Vilnius, Lithuania aut NATIONALLICENCE 700 1- Gupta R. K. Department of Surgery, Gastrointestinal Unit, B.P. Koirala Institute of Health Sciences, Dharan, Nepal aut NATIONALLICENCE 700 1- Zabulis V. Department of Cardiovascular Disease, Vilnius University, Santariskiu Street 2, LT-08661, Vilnius, Lithuania aut NATIONALLICENCE 700 1- Samalavicius R. S. Second Department of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santariskiu Clinics, Santariskiu Street 2, LT-08661, Vilnius, Lithuania aut NATIONALLICENCE 700 1- Kutkauskiene J. Faculty of Law, Law Philosophy and Law History Department, Mykolas Romeri University, Ateities Street 20, LT-08303, Vilnius, Lithuania aut NATIONALLICENCE 700 1- Escalante R. Departament of Surgery, Medical Centre of Loira, Av. Loira. Caracas, Venezuela aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/5(2015-10-01), 238-242 1682-8631 47:5<238 2015 47 10353