A Comparison of Total Laparoscopic Hemi-colectomy Vs Assisted Laparoscopic and Laparotomy

A COMPARISON OF TOTAL LAPAROSCOPIC HEMI-COLECTOMY VS ASSISTED LAPAROSCOPIC AND LAPAROTOMY
Lozano-Dubernard G, Calva JJ, Ruiz-Healy F, Gil-Ortiz R, Rodriguez-Gonzalez M, Figueroa-Barkow S. Hospital Angeles del Pedregal, Mexico City, Mexico
Objective. Our study aims to compare clinical outcomes from left total laparoscopic hemi-colectomy with trans-anal extraction and intra-abdominal anastomosis (TL), versus left hemi-colectomy by laparotomy (LPT) and abdominal-incision assisted laparoscopy (AL).
Methods. A retrospective hospital chart review of patients undergoing colonic resection at Hospital Angeles del Pedregal was performed to identify clinical features and outcomes as surgical time, trans-surgical bleeding, initiation of oral fluid intake, hospital complications and length of stay. A total of 233 patients were identified: LPT (107 patients), AL (65 patients) and TL (61 patients). Statistically comparison was using the U-Mann-Whitney test and the chi2 test (SPSS.10). TL was carried-out only by our team, the other 2 procedures, by several other surgeons.
Results. The TL group of patients were younger (median age: 46 y) compared to LPT and AL patients (median age: 55y and 59y; p


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Program Number: P001

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