Analysis of the effect of hand-assisted laparoscopic versus open right hemi-colectomy for Crohn′s disease

Objective To compare the safety and short-term efficacy between hand-assisted laparoscopic (HALS group) and open right hemi-colectomy (open group) for Crohn′s disease (CD). Methods CD patients from the 6th hospital of Sun Yat-sen university treated with HALS and open right hemi-colectomy between January 2013 and January 2017 were included. Clinical differences between the two groups, such as clinical characteristics, operation time, blood loss, stoma rate, postoperative complications and recovery time, were analyzed. Results 8 patients underwent HALS and 39 patients underwent open surgery. No differences in preoperative clinical characteristics were found between the two groups. Operation time in HALS group [181.0(156.8, 194.5)min] was significantly shorter than that in open group [240.0(210.0, 308.0)min]. HALS group [48.0(35.3, 66.0)ml] resulted in a lower blood loss than open group [76.0(67.0, 85.0)ml]. Postoperative recovery time in HALS group [9.0(8.0, 11.5)d] was shorter than that in open group [15.0(12.0, 22.0)d]. Conclusion HALS right hemi-colectomy is safe and feasible for Crohn′s disease, as it results in lower blood loss, shorter operation time, and postoperative recovery time. Key words: Crohn′s disease; Hand-assisted laparoscopic; Surgical procedures