Document Detail


Gasless laparoscopy-assisted versus open resection of small bowel lesions.
MedLine Citation:
PMID:  20809818     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We had developed an innovative method of minimally invasive surgery using gasless laparoscopy in resection of the small bowel lesion. This study aimed at evaluating the feasibility and efficacy of this procedure by comparison with traditional open small bowel surgery.
METHODS: A wedge or segmental resection of the small bowel for removal of the lesion was performed in 25 patients at National Taiwan University Hospital from September 2006 to January 2009. Thirteen patients underwent gasless laparoscopy-assisted surgery (GLAS), and 12 patients underwent open surgery. The perioperative characteristics and clinical results between the two groups were compared.
RESULTS: The demographics, clinical data, lesion size, and operative time were comparable between the GLAS and open surgery groups, but the wound length and blood loss were significantly less in the GLAS group (P < 0.001 and P = 0.021, respectively). The time to first postoperative flatus and first oral intake were significantly less in the GLAS group (P = 0.007 and 0.036, respectively). No major complication occurred in either group. No tumor recurrence was found after a median follow-up period of 14 months (range = 1-30) in the GLAS group.
CONCLUSIONS: GLAS for resection of the small bowel may be a feasible and safe procedure for the small bowel lesions. It has the advantages of better cosmetic outcome, less blood loss, and earlier recovery of bowel movement.
Authors:
Chun-Chieh Huang; Ching-Yao Yang; Ming-Hsun Wu; Ming-Yang Wang; Chi-Chuan Yeh; I-Rue Lai; Chiung-Nien Chen; Ming-Tsan Lin
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  20     ISSN:  1557-9034     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-13     Completed Date:  2011-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  699-703     Citation Subset:  IM    
Affiliation:
Division of General Surgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / secondary,  surgery*
Adolescent
Adult
Aged
Aged, 80 and over
Carcinoma / secondary,  surgery
Digestive System Surgical Procedures / methods
Duodenal Neoplasms / surgery*
Feasibility Studies
Female
Gastrointestinal Stromal Tumors / surgery*
Humans
Ileal Neoplasms / surgery*
Intestine, Small / surgery
Jejunal Neoplasms / surgery*
Laparoscopy / methods*
Male
Middle Aged
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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