title: [Hand-assisted laparoscopic surgery in radical resection of rectal cancer].
abstract: OBJECTIVE
  To investigate the application experience and clinical effects of hand-assisted laparoscopic radical resection for rectal cancer.
  
  
  METHODS
  The clinical data of 156 patients with rectal cancer treated with hand-assisted laparoscopic surgery between August 2009 and April 2011 were analyzed retrospectively.
  
  
  RESULTS
  The operative procedures of 156 patients were completed successfully and 1 case was converted to laparotomy (0.6%). The mean operation time was (125 ± 35) minutes; the mean intraoperative blood loss was (118 ± 60) ml; the mean time of bowel function recovery was (60 ± 8) hours; the median postoperative hospital stay was (9.5 ± 2.2) days. The mean number of lymph nodes dissection was (14 ± 5). Five patients (3.2%) had postoperative complications. All the patients were followed up. There had been no local recurrence or trocar site implantation metastasis.
  
  
  CONCLUSIONS
  Hand-assisted laparoscopic surgery approach for the curative resection of rectal cancer is safe and effective and has broad prospects in clinical application.
authors.affiliation: Department of Colorectal Surgery, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.
authors.forename: Fan-long
authors.initials: FL
authors.lastname: Liu
authors.forename: Qin-song
authors.initials: QS
authors.lastname: Sheng
authors.forename: Wen-bin
authors.initials: WB
authors.lastname: Chen
authors.forename: Jin-hai
authors.initials: JH
authors.lastname: Wang
authors.forename: Han-ju
authors.initials: HJ
authors.lastname: Hua
authors.forename: Jian-jiang
authors.initials: JJ
authors.lastname: Lin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome