Gasless laparoscopy-assisted colon surgery utilizing mini-laparotomy and a subcutaneous abdominal wall lift system.

摘要

BACKGROUND/AIMS: This study was performed to investigate the technical aspects and perioperative results of using a subcutaneous abdominal wall lift system for laparoscopy-assisted colectomy. METHODOLOGY: We attempted a laparoscopy-assisted colectomy for 19 patients and completed 16 cases using mini-laparotomy and a subcutaneous abdominal wall lift system, observing monitor images via laparoscopy or direct views through mini-laparotomy. All 5 surgeons had no experience of laparoscopy-assisted colectomy but considerable experience of laparoscopic cholecystectomy. RESULTS: The operating time ranged from 120 to 360 minutes with an average of 188. Intraoperative blood loss ranged from 20 to 300 mL with an average of 116 mL. No postoperative major complications occurred, but 5 cases suffered wound infection. CONCLUSIONS: Laparoscopy-assisted colon surgery utilizing a subcutaneous abdominal wall system and mini-laparotomy was feasible as minimally invasive surgery for colorectal diseases, even for surgeons with little previous experience.