caa a22 4500 606207376 CHVBK 20210128101016.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10353-015-0308-x doi (NATIONALLICENCE)springer-10.1007/s10353-015-0308-x Functional and clinical outcomes of hand-assisted laparoscopic colorectal surgery: a single-institution experience in 255 patients [Elektronische Daten] Hand-assisted laparoscopic surgery: single-center experience [A. Dulskas Jr., N.E. Samalavicius, R.K. Gupta, A. Kilius, K. Petrulis, R.S. Samalavicius, R. Tikuisis] Summary: Background: Hand-assisted laparoscopic colectomy is an alternative technique to laparoscopy: it is technically easier, learning curve and operative time is shorter. We aimed to describe the characteristics of patients admitted due to colorectal cancer for hand-assisted laparoscopic surgery (HALS), intra- and postoperative clinical and functional outcomes. Methods: A prospectively maintained database was used to identify all patients who underwent HALS for colorectal cancer at the National Cancer Institute from April 2006 to November 1 2014. Data are presented as frequency (proportion) or median (interquartile range). Results: A total of 255 HALS colorectal resections were performed. The mean HALS time was 105min (50-270). The conversion rate was 1.96 % (5/255). The average number of lymph nodes harvested was 15 (2-54). The average time to first flatus was 1.92 days (1.5-4.5), to tolerance of solid food was 2.85 (1.4-3.4), and to first bowel movements was 3.64 (2.6-4.3). The median length of hospital stay was 6.8 days (3-31). Postoperative complication rate was 9.8 %. Three patients (1.17 %) demanded explorative laparotomy. Postoperative mortality rate was 0.39 % (one patient). There was 3.2 % of local recurrence in the colon and 5.8 % in the rectum and no port site metastasis during 36.3 (1-108) months of surveillance. The 3-year survival rates were 100 % for stage I, 97 % for stage II, 84 % for stage III, and 50 % for stage IV colorectal cancer. Conclusions: Hand-assisted laparoscopic colorectal resection preserves nearly all the benefits of laparoscopic colectomy reported in the literature. With experience, it is associated with improved clinical outcomes. Springer-Verlag Wien, 2015 Hand-assisted laparoscopic surgery (HALS) nationallicence Laparoscopic colectomy nationallicence Functional outcomes nationallicence Colorectal cancer nationallicence Complications nationallicence Dulskas Jr. A. National Cancer Institute, 1 Santariskiu Str, LT-08406, Vilnius, Lithuania aut Samalavicius N.E. Center of Oncosurgery, Clinic of Internal, Family Medicine and Oncology, Faculty of Medicine, National Cancer Institute, 1 Santariskiu Str., LT-08406, Vilnius, Lithuania aut Gupta R.K. Department of Surgery, Gastrointestinal unit, B.P. Koirala Institute of Health Sciences, Dharan, Nepal aut Kilius A. National Cancer Institute, 1 Santariskiu Str, LT-08406, Vilnius, Lithuania aut Petrulis K. National Cancer Institute, 1 Santariskiu Str, LT-08406, Vilnius, Lithuania aut Samalavicius R.S. Second Department of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santariskiu Clinics, 2 Santariskiu Str., LT-08661, Vilnius, Lithuania aut Tikuisis R. National Cancer Institute, 1 Santariskiu Str, LT-08406, Vilnius, Lithuania aut European Surgery Springer Vienna 47/2(2015-04-01), 75-80 1682-8631 47:2<75 2015 47 10353 https://doi.org/10.1007/s10353-015-0308-x 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/s10353-015-0308-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dulskas Jr A. National Cancer Institute, 1 Santariskiu Str, LT-08406, Vilnius, Lithuania aut NATIONALLICENCE 700 1- Samalavicius N.E. Center of Oncosurgery, Clinic of Internal, Family Medicine and Oncology, Faculty of Medicine, National Cancer Institute, 1 Santariskiu Str., 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- Kilius A. National Cancer Institute, 1 Santariskiu Str, LT-08406, Vilnius, Lithuania aut NATIONALLICENCE 700 1- Petrulis K. National Cancer Institute, 1 Santariskiu Str, LT-08406, Vilnius, Lithuania aut NATIONALLICENCE 700 1- Samalavicius R.S. Second Department of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santariskiu Clinics, 2 Santariskiu Str., LT-08661, Vilnius, Lithuania aut NATIONALLICENCE 700 1- Tikuisis R. National Cancer Institute, 1 Santariskiu Str, LT-08406, Vilnius, Lithuania aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/2(2015-04-01), 75-80 1682-8631 47:2<75 2015 47 10353