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Helping hand of hybrid surgery benefits colorectal patients
Date:4/15/2009

Earlier studies have shown that short-term outcomes were similar between the two procedures. Now, Dr. Sonoda and his co-authors are the first to report that the two techniques have similar long-term safety profiles as well. Both are associated with very low rates of wound infection, hernia, adhesions and small-bowel obstruction -- the most common post-operative complications of traditional open intestinal surgery.

The researchers had previously taken part in a multi-institutional, randomized, controlled study that demonstrated that the hand-assisted version of the procedure led to time savings in the OR of half an hour for partial removal of the colon and a full hour for total colectomy compared with standard laparoscopy. One reason for this, says Dr. Sonoda, could be that HALS gives surgeons tactile feeling, including the sensation of depth, that helps facilitate various surgical maneuvers.

"We're committed to providing the best possible surgical results for our patients," says Dr. Jeffrey Milsom, the study's senior author. Dr. Milsom is section chief of colon and rectal surgery at NewYork-Presbyterian Hospital/Weill Cornell Medical Center and the Jerome J. DeCosse, M.D., Professor of Colon & Rectal Surgery, and professor of surgery at Weill Cornell Medical College. "The hand-assisted approach has been a valuable addition to our arsenal of surgical treatments."

Dr. Milsom advises patients with bowel disease to discuss all three options -- SLS, HALS and open surgery -- with their surgeon to see which one is most appropriate for them.


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Contact: John Rodgers
jdr2001@med.cornell.edu
212-821-0560
New York- Presbyterian Hospital/Weill Cornell Medical Center/Weill Cornell Medical College
Source:Eurekalert

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