{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T04:17:51Z","timestamp":1762057071966,"version":"build-2065373602"},"reference-count":30,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T00:00:00Z","timestamp":1656460800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The aim of this study was to report overall experience, perioperative and long-term survival results in a single tertiary referral center in Lithuania with hand assisted laparoscopic surgery (HALS) for colorectal cancer. A prospectively maintained database included 467 patients who underwent HALS for left-sided colon and rectal cancer, from April 2006 to October 2016. All those operations were performed by three consultant surgeons and nine surgical residents, in all cases assisted by one of the same consultant surgeons. There were 230 (49.25%) females, with an average age of 64 \u00b1 9.7 years (range, 26\u201391 years). The procedures performed included 170 (36.4%) anterior rectal resections with partial mesorectal excision, 160 (34.26%) sigmoid colectomies, 81 (17.35%) left hemicolectomies, 45 (9.64%) low anterior rectal resections with total mesorectal excision, and 11 (2.25%) other procedures. Stage I colorectal cancer was found in 140 (29.98%) patients, 139 (29.76%) stage II, 152 (32.55%) stage III and 36 (7.71%) stage IV. There were five conversions to open surgery (1.1%). The mean postoperative hospital stay was 6.9 \u00b1 3.4 days (range, 1\u201330 days). In total, 33 (7.06%) patients developed postoperative complications. The most common complications were small bowel obstruction (n = 6), anastomotic leakage (n = 5), intraabdominal abscess (n = 4) and dysuria (n = 4). There were two postoperative deaths (0.43%). Overall, 5-year survival for all TNM stages was 85.7%, 93.2% for stage I, 88.5% for stage II and 76.3% for stage III. Hand assisted colorectal surgery for left-sided colon and rectal cancer in a single tertiary referral center was feasible and safe, having all the advantages of minimally invasive surgery, with good perioperative parameters, adequate oncological quality and excellent survival.<\/jats:p>","DOI":"10.3390\/jcm11133781","type":"journal-article","created":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T22:43:28Z","timestamp":1656542608000},"page":"3781","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Hand Assisted Laparoscopic Surgery for Colorectal Cancer: Surgical and Oncological Outcomes from a Single Tertiary Referral Centre"],"prefix":"10.3390","volume":"11","author":[{"given":"Narimantas Evaldas","family":"Samalavicius","sequence":"first","affiliation":[{"name":"Department of Surgery, Klaipeda University Hospital, 92288 Klaipeda, Lithuania"},{"name":"Health Research and Innovation Science, Faculty of Health Sciences, Klaipeda University, 92294 Klaipeda, Lithuania"},{"name":"Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zygimantas","family":"Kuliesius","sequence":"additional","affiliation":[{"name":"Department of Surgery, Republic Vilnius University Hospital, 28151 Vilnius, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robertas Stasys","family":"Samalavi\u010dius","sequence":"additional","affiliation":[{"name":"Health Research and Innovation Science, Faculty of Health Sciences, Klaipeda University, 92294 Klaipeda, Lithuania"},{"name":"Lithuania Emergency Medicine Center, Vilnius University Hospital Santaros Clinics, 08410 Vilnius, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renatas","family":"Tikuisis","sequence":"additional","affiliation":[{"name":"National Cancer Institute, 1 Santariskiu Str., 08406 Vilnius, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgaras","family":"Smolskas","sequence":"additional","affiliation":[{"name":"Vilnius City Clinical Hospital, 57 Antakalnio Str., 10207 Vilnius, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5428-4761","authenticated-orcid":false,"given":"Zilvinas","family":"Gricius","sequence":"additional","affiliation":[{"name":"National Cancer Institute, 1 Santariskiu Str., 08406 Vilnius, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Povilas","family":"Kavaliauskas","sequence":"additional","affiliation":[{"name":"Department of Surgery, Republic Vilnius University Hospital, 28151 Vilnius, Lithuania"},{"name":"National Cancer Institute, 1 Santariskiu Str., 08406 Vilnius, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3692-8962","authenticated-orcid":false,"given":"Audrius","family":"Dulskas","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania"},{"name":"National Cancer Institute, 1 Santariskiu Str., 08406 Vilnius, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,29]]},"reference":[{"key":"ref_1","first-page":"144","article-title":"Minimally invasive colon resection (laparoscopic colectomy)","volume":"1","author":"Jacobs","year":"1991","journal-title":"Surg. 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