Abstract：
BACKGROUND:We report outcomes on 324 consecutive cases of hand-assisted laparoscopic surgery (HALS) in colorectal patients over 13 years performed by a single surgeon. METHODS:A prospectively maintained database was used to identify all patients undergoing HALS colorectal procedures for benign or malignant indications from September 2004 to February 2018, at two major tertiary centres in Sydney, Australia. RESULTS:Median age was 64 years, 51% were female and median body mass index was 26. Colorectal cancer (55%), diverticular disease (13%) and polyp related conditions (13%) were common indications. Anterior resection (65%) and right hemicolectomy (18%) were most commonly performed. Median operative time was 244 min (190-300) and 75% of Gelport incisions were Pfannenstiel. Sixty-three percent of colorectal cancer patients had a T3 or T4 cancer. Median tumour size was 35 mm (25-45). Seven percent required conversion to open and 4% a re-operation in the early post-operative period. Thirty-six percent had a post-operative complication, and 11% were major complications. Follow-up extended to 12.8 years and there were 33 late deaths. Being in a high dependency unit or intensive care unit was significant for late mortality (odds ratio 2.8, 95% confidence interval 1.06-7.78, P = 0.037). Three percent developed an incisional hernia and 6% had small bowel obstruction at long-term follow-up. CONCLUSION:HALS is an effective technique for both benign and malignant colorectal indications with the added advantage of tactile feedback and a lower rate of conversion to open.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Siddiqui J,Young CJdoi
10.1111/ans.15578subject
Has Abstractpub_date
2020-01-01 00:00:00pages
113-118issue
1-2eissn
1445-1433issn
1445-2197journal_volume
90pub_type
杂志文章abstract：BACKGROUND:Hepatic resection is a relatively young and complex specialized procedure. A strong relationship between volume and perioperative mortality has been reported internationally. However, there has been no multicentre study into hepatic resection in Australia. This retrospective, population-based cohort study wa...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14408
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:We describe a technique of U-shaped bulboprostatic anastomosis for urethral injury after pelvic trauma. METHODS:Sixty-eight male patients were included in our study. Suprapubic cystostomy was carried out initially, followed by U-shaped prostatobulbar anastomosis after 6-12 weeks. Follow ups were carried out...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2008.04584.x
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND:Although patterns of return of bowel function (ROBF) following colorectal surgery with enhanced recovery after surgery (ERAS) programmes have been well delineated, regular morphine use is uncommon. This study describes the patterns of post-operative nausea and vomiting (PONV) and ROBF in this context. METHO...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13290
更新日期：2015-11-01 00:00:00
abstract：:Pre duodenal portal vein (PDPV) has not been reported as a cause of duodenal obstruction in adults. We describe a 60 year old man who presented with symptoms of gastric outlet obstruction caused by PDPV, and was diagnosed at laparotomy and treated by gastrojejunostomy. ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-1433.2004.03226.x
更新日期：2004-11-01 00:00:00
abstract：BACKGROUND:Subglottic hemangiomas (SGH) are a rare tumour, often associated with significant airway obstruction in infants. Current treatment options, while effective, often expose the infant to potential complications. Emerging evidence suggests a role for the beta blocker propranolol in the initial management of SGH....
journal_title：ANZ journal of surgery
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1445-2197.2010.05643.x
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:Laparoscopic liver resection (LLR) is increasingly common worldwide but its suitability in patients with cirrhosis is not clearly defined. There are minimal data in the western literature on this topic and previous work has compared LLR to open hepatectomy rather than to LLR in non-cirrhotic patients. This s...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15745
更新日期：2020-06-01 00:00:00
abstract：BACKGROUND:The aim of our study was to identify the demographics and complications in elderly cervical spine injuries and predictive factors for surgery, complications and mortality. We hypothesized younger healthier patients were more likely to undergo surgical intervention. METHODS:A retrospective review of 225 cons...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14875
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:Trimodality therapy (TMT; extrapleural pneumonectomy (EPP), chemotherapy and radiation therapy) offers the potential of optimal survival in selected patients with Brigham stage I-II epitheliod mesothelioma based on CT, MRI and PET scanning. We hypothesized that these scanning modalities were inadequate to ac...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2009.05060.x
更新日期：2009-10-01 00:00:00
abstract：BACKGROUND:The aim of this study was to develop a points-based approach to prioritize patients for elective transurethral resection of the prostate and to determine the relative contributions that clinical and psychosocial characteristics should make to a measurement of urgency for surgery. Another objective was to mea...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03988.x
更新日期：2007-03-01 00:00:00
abstract：BACKGROUND:With the introduction of laparoscopic Tenckhoff catheter insertion in the early 1990s, catheter malposition resulting in malfunction remains a frequent complication, often requiring surgical or radiological intervention. In this pioneer study, we describe the technique of suturing the Tenckhoff catheter usin...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15506
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Oncology literature is increasingly recognizing prevalence of second primary cancers including several longitudinal studies showing an increased risk of colorectal cancer following a prostate cancer diagnosis. A retrospective study was conducted to examine the relationship between prior prostate cancer diagn...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12136
更新日期：2013-12-01 00:00:00
abstract：:Pancreaticobiliary reflux may occur either as a result of an anatomically abnormal pancreaticobiliary junction or because of a functionally impaired sphincter despite a normal radiological appearance. It is associated with a wide spectrum of biliary diseases, including gall bladder and bile duct carcinoma. Pancreatico...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2012.06076.x
更新日期：2012-06-01 00:00:00
abstract：:Chance meetings in the USA and in France lead to the realization of the potential for cholecystectomy to be performed laparoscopically. Outlined are the steps taken to learn the technique and perform the first such operation in Australia (with unusual circumstances), immediately followed by the introduction of audit a...
journal_title：ANZ journal of surgery
pub_type： 历史文章,杂志文章
doi：10.1111/j.1445-2197.2011.05898.x
更新日期：2011-12-01 00:00:00
abstract：BACKGROUND:To evaluate the initial results of laparoscopic radical prostatectomy at this institution. METHODS:Between January 2000 and September 2003, 30 patients underwent laparoscopic radical prostatectomy. Peri- and postoperative data were accumulated prospectively and maintained in a database. All patients have a ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-1433.2004.03269.x
更新日期：2004-12-01 00:00:00
abstract：BACKGROUND:Pilonidal sinus (PS) is a benign disease for which different treatment modalities are used, varying from non-surgical treatments to surgical treatments with flap use for big defects. High recurrence is the main problem in complicated cases. We presented complete natal cleft excision with kite incision and fa...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15550
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:The 2009 American Thyroid Association (ATA) three-tiered risk stratification, and its updated version in 2015, provided clearer guidance on the use of radioactive iodine (RAI) ablation in differentiated thyroid cancer (DTC) patients. This study examines the impact of these guidelines on RAI use in our instit...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15522
更新日期：2019-11-01 00:00:00
abstract：BACKGROUND: The purpose of credentialing is to ensure that clinicians provide safe, high-quality health-care services in accordance with good practice and legal requirements. This review assessed the institutional credentialing processes and governance structures required to support credentialing processes at an insti...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2012.06115.x
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND:Trastuzumab increases disease-free and overall survival in HER-2-positive, early breast cancer. In 2007, the National Breast and Ovarian Cancer Centre recommended that patients with HER-2 positive cancers (node positive or node negative tumours >1 cm) be offered adjuvant trastuzumab with chemotherapy. The ai...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2011.05998.x
更新日期：2012-04-01 00:00:00
abstract：:With the widespread use of abdominal imaging, the detection and therefore incidence of adrenal tumours is increasing. The laparoscopic approach to primary surgical resection of adrenal tumours has now become the standard of care. There is scarce published literature regarding the management and outcomes of recurrent a...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2009.04892.x
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND:Recent trials on rectal cancer have demonstrated significant improvements in local recurrence without improvements in overall survival. The aim of this paper was to define the influence of local recurrence on survival in a prospective series of patients who underwent R0 or R1 resections for rectal cancer. M...
journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章
doi：10.1111/ans.12214
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to determine the anastomotic leak rate for colorectal cancer resections in patients with metastases (compared to those without), and to determine the impact of anastomotic leaks on survival. METHODS:This is a retrospective analysis of all patients who underwent resection and pr...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14494
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Colorectal cancers represent a heterogenous group of tumours. While left segmental colectomy is an accepted and oncologically safe practice for left-sided colonic cancer (CC), some authors suggest that limited segmental resection of right-sided cancer should be debated in order to preserve length of the rese...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/ans.14276
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:The interventional management of necrotizing pancreatitis has evolved from early open surgery to delayed endoscopic or percutaneous intervention. However, few studies have directly compared the three treatment modalities. We aim to compare the outcomes of patients who had endoscopic, percutaneous or surgical...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13381
更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:Hepatectomy has been the gold standard procedure for curative treatment of benign and malignant hepatobiliary lesions for over a century. The aim of this study is to report on the 16-year experience of a single institution. METHODS:All patients admitted to The Queen Elizabeth Hospital, South Australia, for ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15304
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:The effect of pneumoperitoneum on veins of the lower limbs related to the intra-abdominal working pressures during laparoscopic cholecystectomy has not been thoroughly investigated. We tested the hypothesis that working pressures do not affect the venous haemodynamics in the lower limbs. METHODS:The cross-s...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03906.x
更新日期：2006-10-01 00:00:00
abstract：INTRODUCTION:The purpose of the present paper is to provide geographically representative information on the presentation, treatment and complications of human bites of the hand in Australia. METHODS:A 5-year retrospective study was undertaken of patients treated at Royal Hobart Hospital for human bites of the hand. T...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1440-1622.2001.02162.x
更新日期：2001-08-01 00:00:00
abstract：BACKGROUND:The technical proficiency of a surgeon is intricately linked to training and experience. Reduction in working hours, decreased operating time and ethical imperatives to protect patients have all resulted in a decrease in hands-on experience. The introduction of laparoscopic procedures has also decreased trai...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15258
更新日期：2019-11-01 00:00:00
abstract：BACKGROUND:Many attempts have been made to determine ways of decreasing the negative laparotomy rate after a clinical diagnosis of acute appendicitis. The aim of the present study was to determine the effectiveness of serum interleukin-6 (IL-6) concentration in the diagnosis of appendicitis, and in the prevention of no...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2002.02516.x
更新日期：2002-09-01 00:00:00
abstract：INTRODUCTION:Ludwig's angina (LA) is an uncommon and potentially life-threatening condition of the upper aero-digestive tract that often requires the coordinated efforts of the surgical, anesthetic and intensive care teams to optimize management. The purpose of the present study was to investigate the documented clinic...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05496.x
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:This study documents the anatomy of the pudendal nerve, which has a major role in maintaining faecal continence. Unexpected faecal incontinence can develop following perineal surgery even when the anal sphincters are not damaged. In addition, injury to the pudendal nerve might be encountered during pelvic pr...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-1433.2003.02885.x
更新日期：2004-01-01 00:00:00
