Original

J Minim Invasive Surg 2003; 6(1): 41-48

Published online December 20, 2003

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

대장직장종양에 있어서 Hand-Assisted Laparoscopic Surgery (HALS)의 초기 경험

조호영·최선근·구지회1·허윤석·이건영·김세중·조영업·안승익·홍기천·신석환·김경래·우제홍

인하대학교 의과대학 외과학교실, 1인천의료원

The Early Experience of Hand-Assisted Laparoscopic Surgery (HALS) in Colorectal Tumor

Ho-Young Jo, M.D., Sun Keun Choi, M.D., Ji Hoi Koo, M.D.1, Yoon Seok Hur, M.D., Keon-Young Lee, M.D., Se Jung Kim, M.D., Young Up Cho, M.D., Seung-Ik Ahn, M.D., Kee-Chun Hong, M.D., Seok-Hwan Shin, M.D., Kyung Rae Kim, M.D., Ze-Hong Woo, M.D.

Department of Surgery, Inha University College of Medicine, 1Incheon Medical Center

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: The purpose of this study was to be of much really help to surgern to carry out laparoscopic surgery. We introduced Hand-Assisted Laparoscopic Surgery (HALS) about colorectal surgery that is helpful in complex laparoscopic surgery. Methods: A prospective study was performed in 13 patients who had undergone surgical intervention with Hand-Assisted Laparoscopic Surgery (HALS) for colorectal tumor between January, 2002 and March, 2003. We performed by using conventional laparoscopic surgical instrument except EndoGIA and OmniportTM (Weck Closure Systems, Research Triangle Park NC) for hand port. Results: The average age of patients was 61.3⁑13.1 years. These patients had benign diseases of 2 case and malignant diseases of 11 case. The benign disease were villous adenoma in sigmoid colon and mucocele in appendix. The malignant disease were early colorectal cancer of 9 cases and advanced colorectal cancer of 2 cases. The operations introduced low ant. resection (LAR) in 5 cases, ant. resection (AR) in 6 cases and right hemicolectomy in 2 cases. The average operative time were 176.0⁑51.1 minutes in LAR, 147.5⁑35.0 minutes in AR and 190.0⁑7.0 minutes in right hemicolectomy. The average intraoperative blood loss were 278.0⁑14.9 ml in LAR, 385.0⁑21.3 ml in AR and 125.0⁑35.3 ml in right hemicolectomy. The average postoperative stay were 9 days in LAR , 10 days in AR and 9 days in right hemicolectomy. The average hand port incision lengh was 8.1⁑0.2 cm. None of the patients required conversion to open surgery as a result of an unmanageable air leak. Conclusion: HALS is not a alternative procedure but a specific procedure for complexed colorectal surgery not performing by pure laparoscopic colorectal surgery.

Keywords HALS, Colorectal cancer

Article

Original

J Minim Invasive Surg 2003; 6(1): 41-48

Published online December 20, 2003

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

대장직장종양에 있어서 Hand-Assisted Laparoscopic Surgery (HALS)의 초기 경험

조호영·최선근·구지회1·허윤석·이건영·김세중·조영업·안승익·홍기천·신석환·김경래·우제홍

인하대학교 의과대학 외과학교실, 1인천의료원

The Early Experience of Hand-Assisted Laparoscopic Surgery (HALS) in Colorectal Tumor

Ho-Young Jo, M.D., Sun Keun Choi, M.D., Ji Hoi Koo, M.D.1, Yoon Seok Hur, M.D., Keon-Young Lee, M.D., Se Jung Kim, M.D., Young Up Cho, M.D., Seung-Ik Ahn, M.D., Kee-Chun Hong, M.D., Seok-Hwan Shin, M.D., Kyung Rae Kim, M.D., Ze-Hong Woo, M.D.

Department of Surgery, Inha University College of Medicine, 1Incheon Medical Center

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: The purpose of this study was to be of much really help to surgern to carry out laparoscopic surgery. We introduced Hand-Assisted Laparoscopic Surgery (HALS) about colorectal surgery that is helpful in complex laparoscopic surgery. Methods: A prospective study was performed in 13 patients who had undergone surgical intervention with Hand-Assisted Laparoscopic Surgery (HALS) for colorectal tumor between January, 2002 and March, 2003. We performed by using conventional laparoscopic surgical instrument except EndoGIA and OmniportTM (Weck Closure Systems, Research Triangle Park NC) for hand port. Results: The average age of patients was 61.3⁑13.1 years. These patients had benign diseases of 2 case and malignant diseases of 11 case. The benign disease were villous adenoma in sigmoid colon and mucocele in appendix. The malignant disease were early colorectal cancer of 9 cases and advanced colorectal cancer of 2 cases. The operations introduced low ant. resection (LAR) in 5 cases, ant. resection (AR) in 6 cases and right hemicolectomy in 2 cases. The average operative time were 176.0⁑51.1 minutes in LAR, 147.5⁑35.0 minutes in AR and 190.0⁑7.0 minutes in right hemicolectomy. The average intraoperative blood loss were 278.0⁑14.9 ml in LAR, 385.0⁑21.3 ml in AR and 125.0⁑35.3 ml in right hemicolectomy. The average postoperative stay were 9 days in LAR , 10 days in AR and 9 days in right hemicolectomy. The average hand port incision lengh was 8.1⁑0.2 cm. None of the patients required conversion to open surgery as a result of an unmanageable air leak. Conclusion: HALS is not a alternative procedure but a specific procedure for complexed colorectal surgery not performing by pure laparoscopic colorectal surgery.

Keywords: HALS, Colorectal cancer

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