title: Hand-Assisted versus Straight-Laparoscopic versus Open Proctosigmoidectomy for Treatment of Sigmoid and Rectal Cancer: A Case-Matched Study of 100 Patients.
abstract: To assess the efficacy of laparoscopic proctosigmoidectomy for cancer treatment, 25 patients who underwent hand-assisted laparoscopic resection during the study period (9/2006 - 7/2012) were matched to 25 straight-laparoscopic and 50 open-surgery cases. The patients who underwent hand-assisted resection had higher rates of preoperative cardiac disease and hypertension than did the straight-laparoscopy and open-surgery groups. Straight-laparoscopic surgery seems to provide faster convalescence compared with open surgery and hand-assisted laparoscopic surgery.
authors.affiliation: Research Fellow in the Digestive Disease Institute Department of Colorectal Surgery at the Cleveland Clinic in OH. cemgezen@hotmail.com.
authors.forename: Fazli C
authors.initials: FC
authors.lastname: Gezen
authors.affiliation: Clinical Research Fellow in the Digestive Disease Institute Department of Colorectal Surgery at the Cleveland Clinic in OH. eaytactr@yahoo.com.
authors.forename: Erman
authors.initials: E
authors.lastname: Aytac
authors.affiliation: Colorectal Surgeon in the Digestive Disease Institute Department of Colorectal Surgery at the Cleveland Clinic in OH. costedm@ccf.org.
authors.forename: Meagan M
authors.initials: MM
authors.lastname: Costedio
authors.affiliation: Associate Professor of Surgery in the Department of Surgery at the University of Colorado School of Medicine in Denver. He was formerly a Colorectal Surgeon in the Digestive Disease Institute Department of Colorectal Surgery at the Cleveland Clinic in OH. jdvogel53@yahoo.com.
authors.forename: Jon D
authors.initials: JD
authors.lastname: Vogel
authors.affiliation: Colorectal Surgeon in the Digestive Disease Institute Department of Colorectal Surgery at the Cleveland Clinic in OH. gorgune@ccf.org.
authors.forename: Emre
authors.initials: E
authors.lastname: Gorgun
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000601:surgery*; D016896:Treatment Outcome