| Autor: |
Francisco, Abarca, Kyle G, Cologne, Amanda, Francescatti, Marc I, Brand, Theodore J, Saclarides |
| Rok vydání: |
2011 |
| Předmět: |
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| Zdroj: |
The American surgeon. 77(7) |
| ISSN: |
1555-9823 |
| Popis: |
Minimally invasive surgery continues to evolve. Recent innovations have included single-incision access, robotic technology, and natural orifice dissection and/or specimen extraction. Many argue that there is minimal patient benefit to these advanced techniques. We report 39 patients undergoing laparoscopic ileal J-pouch anal anastomosis surgery, 17 of whom did not have a separate specimen extraction incision (Group 1). The specimen for this group was extracted through the circular incision made for the ileostomy; the pouch was constructed extracorporeally and returned to the abdomen through the stoma site. For the remaining 22 patients, a suprapubic Pfannenstiel incision was made (Group 2). No hand-assistance was used for either group. Group 1 showed a 45-minute reduction in operative time, a 1-day reduction in hospital stay, and a reduction in complications. Although these differences are modest, it shows that minimally invasive surgery is an evolving process. Small modifications may translate into significant advantages. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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