Hand-assisted laparoscopic colorectal surgery using GelPort.
BACKGROUND
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.


METHODS
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.


RESULTS
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.


CONCLUSIONS
When performed with GelPort, HALS is safely and reliably applicable for various colorectal procedures.
Nakajima
K
K
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.
Lee
S W
SW
Cocilovo
C
C
Foglia
C
C
Kim
K
K
Sonoda
T
T
Milsom
J W
JW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D003082:Colectomy / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D003108:Colonic Diseases / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000295:instrumentation* / Q000706:statistics & numerical data; D004867:Equipment Design; D005260:Female; D006225:Hand; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000601:surgery; D007432:Intraoperative Period / Q000706:statistics & numerical data; D010535:Laparoscopy / Q000379:methods* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D011446:Prospective Studies; D012002:Rectal Diseases / Q000601:surgery*; D016896:Treatment Outcome