Nakajima K, Lee S W, Cocilovo C, Foglia C, Kim K, Sonoda T, Milsom J W
Section of Colon and Rectal Surgery, Department of Surgery, New York Presbyterian Hospital-Weill Medical College of Cornell University, 525 East 68th Street, New York, NY 10021, USA.
Surg Endosc. 2004 Jan;18(1):102-5. doi: 10.1007/s00464-002-8648-6. Epub 2003 Sep 10.
An easily usable hand access device will optimize success in hand-assisted laparoscopic surgery (HALS). The authors describe their initial series of HALS colorectal resections using GelPort to evaluate their current technique and results with this new device.
A retrospective study investigated 33 HALS colorectal procedures including total colectomy ( n = 16) and low anterior resection ( n = 10). All operative data, including intraoperative GelPort performance, were prospectively recorded and retrospectively analyzed.
In this study, 3 (9.1%) of 33 HALS procedures were converted to open surgery, and 4 (13.3%) of 30 HALS procedures required minimal enlargement of incisions to facilitate extracorporeal procedures. The operative time was 263 +/- 85 min, and the blood loss was 282 +/- 148 ml. There were no device malfunctions. Three major complications (9.1%) and 7 minor wound infections (21%) were noted postoperatively. The mean hospital stay was 7.9 +/- 3.8 days.
When performed with GelPort, HALS is safely and reliably applicable for various colorectal procedures.
一种易于使用的手部接入装置将优化手辅助腹腔镜手术（HALS）的成功率。作者描述了他们最初一系列使用GelPort进行的HALS结直肠切除术，以评估他们目前使用这种新装置的技术和结果。
一项回顾性研究调查了33例HALS结直肠手术，包括全结肠切除术（n = 16）和低位前切除术（n = 10）。所有手术数据，包括术中GelPort的性能，均进行前瞻性记录并回顾性分析。
在本研究中，33例HALS手术中有3例（9.1%）转为开放手术，30例HALS手术中有4例（13.3%）需要稍微扩大切口以利于体外操作。手术时间为263±85分钟，失血量为282±148毫升。没有器械故障。术后发现3例严重并发症（9.1%）和7例轻微伤口感染（21%）。平均住院时间为7.9±3.8天。
使用GelPort进行HALS时，可安全可靠地应用于各种结直肠手术。
