Cosme RC, Jean SE, González DLS, Belmonte MC

Idioma: Español
Referencias bibliográficas: 27
Paginas: 180-184
Archivo PDF: 52.99 Kb.

RESUMEN

Objetivos: Múltiples estudios han descrito las ventajas de la cirugía manualmente asistida en cirugía colorrectal. El objetivo de este estudio es analizar el papel actual del abordaje manualmente asistido al responder cuatro puntos controversiales sobre el papel actual de la colectomía mano-asistida. Métodos: Se realizó una búsqueda de los reportes de cirugía manualmente asistida a través de las bases de datos de MEDLINE y PubMed. Resultados: Se identificó un total de 27 artículos, de entre los cuales 10 correspondían a estudios descriptivos, 5 no aleatorios, 7 aleatorios y un metaanálisis. Conclusiones: El abordaje manualmente asistido es seguro y sus resultados a largo plazo son superiores a la cirugía abierta y similares al abordaje laparoscópico asistido. De la misma manera, tiene la ventaja de reducir los tiempos quirúrgicos en colectomías segmentarias y totales, así como un menor índice de conversión. Además, juega un papel importante en la enseñanza de la cirugía colorrectal laparoscópica a residentes en entrenamiento.

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