title: Gasless laparoscopy-assisted colon surgery utilizing mini-laparotomy and a subcutaneous abdominal wall lift system.
abstract: OBJECTIVE
  This study was performed to investigate the technical aspects and perioperative results of using a subcutaneous abdominal wall lift system for laparoscopy-assisted colectomy.
  
  
  METHODS
  We attempted a laparoscopy-assisted colectomy for 19 patients and completed 16 cases using mini-laparotomy and a subcutaneous abdominal wall lift system, observing monitor images via laparoscopy or direct views through mini-laparotomy. All 5 surgeons had no experience of laparoscopy-assisted colectomy but considerable experience of laparoscopic cholecystectomy.
  
  
  RESULTS
  The operating time ranged from 120 to 360 minutes with an average of 188. Intraoperative blood loss ranged from 20 to 300 mL with an average of 116 mL. No postoperative major complications occurred, but 5 cases suffered wound infection.
  
  
  CONCLUSIONS
  Laparoscopy-assisted colon surgery utilizing a subcutaneous abdominal wall system and mini-laparotomy was feasible as minimally invasive surgery for colorectal diseases, even for surgeons with little previous experience.
authors.affiliation: Department of Surgery, Nasu-Minami Hospital, Jichi Medical School, Tochigi, Japan. mhyodo@jichi.ac.jp
authors.forename: Masanobu
authors.initials: M
authors.lastname: Hyodo
authors.forename: Chuuji
authors.initials: C
authors.lastname: Sekiguchi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ohdaira
authors.forename: Hideo
authors.initials: H
authors.lastname: Chiba
authors.forename: Shin
authors.initials: S
authors.lastname: Ohtsuka
authors.forename: Hideo
authors.initials: H
authors.lastname: Nagai
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008297:Male; D008875:Middle Aged