Iqbal Mohd, Bhalerao Satish
Department of Surgery, City Hospital, Birmingham, UK.
J Laparoendosc Adv Surg Tech A. 2007 Apr;17(2):172-9. doi: 10.1089/lap.2006.0007.
Hand-assisted laparoscopic colorectal surgery has continued to develop since the mid-1990s. There have been a number of publications regarding its use and efficacy as a technique. We studied these reports to assess the current status of hand-assisted laparoscopic colorectal surgery.
We searched for articles on hand-assisted laparoscopic colorectal surgery archived in MEDLINE, PubMed, and the Cochrane database of systematic reviews.
We found a total of 36 papers. These included nine descriptive studies, three nonrandomized trials, and four randomized trials.
Most authors found hand-assisted laparoscopic colorectal surgery to be a very useful and promising technique. Suitable hand-insertion ports and laparoscopic instruments are crucial. Controlled trials demonstrate that the early benefits of the laparoscopic approach are realized and there may be a shorter learning curve.
自20世纪90年代中期以来，手辅助腹腔镜结直肠手术持续发展。关于其作为一种技术的应用和疗效已有多篇文献发表。我们研究了这些报告以评估手辅助腹腔镜结直肠手术的现状。
我们在MEDLINE、PubMed以及Cochrane系统评价数据库中检索有关手辅助腹腔镜结直肠手术的文章。
我们共找到36篇论文。其中包括9项描述性研究、3项非随机试验和4项随机试验。
大多数作者发现手辅助腹腔镜结直肠手术是一种非常有用且有前景的技术。合适的手插入端口和腹腔镜器械至关重要。对照试验表明，腹腔镜手术方法的早期益处得以实现，且学习曲线可能更短。
