TY - JOUR
T1 - Hand-assisted laparoscopic colectomy for colovesical fistula associated with diverticular disease
AU - Spector, Rona
AU - Bard, Vyacheslav
AU - Zmora, Oded
AU - Avital, Shmuel
AU - Wasserberg, Nir
PY - 2014/6
Y1 - 2014/6
N2 - To evaluate the feasibility and short-term outcome of hand-assisted laparoscopic colectomy (HALC) for the treatment of colovesical fistula complicating diverticulitis, we reviewed the files of all 34 patients who underwent surgery for diverticular colovesical fistula in 1999 to 2010 at a major tertiary medical center. Twenty-one were treated with HALC and 13 with open colectomy. There were no differences in demographic parameters among the groups. HALC and open colectomy had similar operating time. HALC was associated with a significantly shorter hospital stay compared with open colectomy (5 vs. 8 d, P=0.001). HALC proved to be technically feasible and safe in this setting. It provided benefits of tactile feedback and manual manipulation as in open colectomy while maintaining the advantages of a minimal invasive approach.
AB - To evaluate the feasibility and short-term outcome of hand-assisted laparoscopic colectomy (HALC) for the treatment of colovesical fistula complicating diverticulitis, we reviewed the files of all 34 patients who underwent surgery for diverticular colovesical fistula in 1999 to 2010 at a major tertiary medical center. Twenty-one were treated with HALC and 13 with open colectomy. There were no differences in demographic parameters among the groups. HALC and open colectomy had similar operating time. HALC was associated with a significantly shorter hospital stay compared with open colectomy (5 vs. 8 d, P=0.001). HALC proved to be technically feasible and safe in this setting. It provided benefits of tactile feedback and manual manipulation as in open colectomy while maintaining the advantages of a minimal invasive approach.
KW - Colovesical fistula
KW - Diverticulitis
KW - Hand-assisted laparoscopic colectomy
UR - http://www.scopus.com/inward/record.url?scp=84902262935&partnerID=8YFLogxK
U2 - 10.1097/SLE.0b013e31828f6ce0
DO - 10.1097/SLE.0b013e31828f6ce0
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C2 - 24710221
AN - SCOPUS:84902262935
SN - 1530-4515
VL - 24
SP - 251
EP - 253
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 3
ER -