{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T10:13:26Z","timestamp":1769854406371,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T00:00:00Z","timestamp":1576022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We report outcomes on 324 consecutive cases of hand\u2010assisted laparoscopic surgery (HALS) in colorectal patients over 13\u2009years performed by a single surgeon.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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\u2009min (190\u2013300) and 75% of Gelport incisions were Pfannenstiel. Sixty\u2010three percent of colorectal cancer patients had a T3 or T4 cancer. Median tumour size was 35\u2009mm (25\u201345). Seven percent required conversion to open and 4% a re\u2010operation in the early post\u2010operative period. Thirty\u2010six percent had a post\u2010operative complication, and 11% were major complications. Follow\u2010up extended to 12.8\u2009years 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\u20137.78, <jats:italic>P<\/jats:italic>\u2009=\u20090.037). Three percent developed an incisional hernia and 6% had small bowel obstruction at long\u2010term follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15578","type":"journal-article","created":{"date-parts":[[2019,12,12]],"date-time":"2019-12-12T06:24:55Z","timestamp":1576131895000},"page":"113-118","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Thirteen\u2010year experience with hand\u2010assisted laparoscopic surgery in colorectal patients"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2083-258X","authenticated-orcid":false,"given":"Javariah","family":"Siddiqui","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Central Clinical School, The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7213-5137","authenticated-orcid":false,"given":"Christopher J.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Central Clinical School, The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02053807"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/13645709309152669"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-2089-x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-9857-4"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.12.005"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2016.01.026"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0500-y"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3892\/ol.2014.2182"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-012-0933-3"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.12.021"},{"key":"e_1_2_7_12_1","first-page":"CD006585","article-title":"Hand assisted laparoscopic surgery versus conventional laparoscopy for colorectal surgery","author":"Moloo H","year":"2010","journal-title":"Cochrane Database Syst. 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