A comparative study of hand-assisted laparoscopic versus open left colonic resection

Objective To study the safety and invasiveness of hand-assisted laparoscopic left coIonic resection (HALS).Methods fifty patients undergoing left colonic resection were assigned randomly to HALS group and open group.Data of patients of two groups,Which included operating time,intraoperative blood,lymph node harvests,postoperative flatus time,hospital stay,complications and C-reactive protein were compared.Results The mean intraoperative blood loss in HALS group was less than that in open left colonic resection group [ (83.16 ± 27.61 ) ml vs ( 196.76 ± 59.47) ml P ＜ 0.05 ] ; postoperative flatus time,hospital stay in HALS group was shorter than in open left colonic resection group [ (45.78 ±11.62) h vs (74.08 ±16.12) h P＜0.05],[ (8.24 ±2.46) d vs (11.63 ±3.07) d P＜0.05] ; C-reactive protein on the sixth day in HALS group was lower than that in open left colonic resection group after operation [ (21.68 ±6.97) vs (67.32 ±28.31) P ＜0.05] ; but there was no significant difference in operating time,complication and recurrence rate.Conclusion HALS left colonic resection resulted in an earlier recovery after surgery.The HALS approach should be preferred to open surgery. Key words: Hand-assisted laparoscopiy;  Left colonic resection;  C-reactive protein