대장직장종양에 있어서 Hand-Assisted Laparoscopic Surgery (HALS)의 초기 경험
The Early Experience of Hand-Assisted Laparoscopic Surgery (HALS) in Colorectal Tumor
조호영, 최선근, 구지회, 허윤석, 이건영, 김세중, 조영업, 안승익, 홍기천, 신석환, 김경래, 우제홍,
소속 상세정보
조호영 ( Jo Ho-Young )
인하대학교 의과대학 외과학교실
최선근 ( Choi Sun-Keun )
인하대학교 의과대학 외과학교실
구지회 ( Koo Ji-Hoi )
인천의료원
허윤석 ( Heo Yoon-Seok )
인하대학교 의과대학 외과학교실
이건영 ( Lee Kun-Young )
인하대학교 의과대학 외과학교실
김세중 ( Kim Sei-Joong )
인하대학교 의과대학 외과학교실
조영업 ( Cho Young-Up )
인하대학교 의과대학 외과학교실
안승익 ( Ahn Seung-Ick )
인하대학교 의과대학 외과학교실
홍기천 ( Hong Kee-Chun )
인하대학교 의과대학 외과학교실
신석환 ( Shin Suk-Hwan )
인하대학교 의과대학 외과학교실
김경래 ( Kim Kyung-Rae )
인하대학교 의과대학 외과학교실
우제홍 ( Woo Ze-Hong )
인하대학교 의과대학 외과학교실
KMID : 0978820030060010041
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.
키워드
수부보조 복강경수술;대장직장암
HALS; Colorectal cancer
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