Hand-Assisted Laparoscopic vs. Open Subtotal Colectomy for Severe Ulcerative Colitis
- 1 April 2009
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Diseases of the Colon & Rectum
- Vol. 52 (4), 640-645
- https://doi.org/10.1007/dcr.0b013e31819d47b5
Abstract
This study aimed to assess the feasibility and safety of undergoing emergency subtotal colectomy with hand-assisted laparoscopic surgery in patients with severe ulcerative colitis. We reviewed the medical records of 60 patients who underwent emergency subtotal colectomy with hand-assisted laparoscopic technique (30 cases) or open technique (30 cases) for severe ulcerative colitis. No intraoperative complications occurred in either group. One patient in the laparoscopic group required conversion to open surgery. The median operative time was significantly longer in the laparoscopic group (242 vs. 191 minutes; P CONCLUSIONS: Although the operative time was elongated in the laparoscopic group, intraoperative safety and postoperative recovery were satisfactory. For severe ulcerative colitis, hand-assisted laparoscopic surgery can be an alternative to conventional open surgery.Keywords
This publication has 18 references indexed in Scilit:
- Laparoscopic-Assisted vs. Open Ileal Pouch-Anal Anastomosis: Functional Outcome in a Case-Matched SeriesDiseases of the Colon & Rectum, 2005
- Laparoscopic restorative proctocolectomyBritish Journal of Surgery, 2004
- Laparoscopic proctocolectomy with restorative ileal-anal pouchColorectal Disease, 2004
- Laparoscopic treatment of fulminant ulcerative colitisSurgical Endoscopy, 2002
- Laparoscopic Surgery for Inflammatory Bowel Disease: Results of the Past DecadeInflammatory Bowel Diseases, 2002
- Does a laparoscopic approach to total abdominal colectomy and proctocolectomy offer advantages?Surgical Endoscopy, 2001
- Laparoscope-Assisted Versus Conventional Restorative Proctocolectomy with Rectal MucosectomySurgery Today, 2001
- Laparoscopic-assisted vs open colectomy for severe acute colitis in patients with inflammatory bowel disease (IBD)Surgical Endoscopy, 2000
- Laparoscopic restorative proctocolectomyDiseases of the Colon & Rectum, 2000
- Laparoscopic colectomy for benign colorectal disease is associated with a significant reduction in disability as compared with laparotomySurgical Endoscopy, 1998