+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Hand-assisted laparoscopic digestive surgery provides safety and tactile sensation for malignancy or obesity



Hand-assisted laparoscopic digestive surgery provides safety and tactile sensation for malignancy or obesity



Surgical Endoscopy 13(2): 157-160



Some of the persistent problems associated with laparoscopic surgery stem from the inability of the surgeon to palpate the abdominal contents during the operation. This lack of tactile sensation can lead to poor abdominal exploration, difficulty in extracting the organs, and a relatively long operation time compared to conventional procedures. The Dexterity Pneumo Sleeve is a new device that allows the surgeon to insert his or her hand into the abdominal cavity through a small incision while preserving the pneumoperitoneum. Recently, 13 of our patients underwent hand-assisted advanced laparoscopic surgery using this device. In this series, we had two cases of gastrectomy, two cases of gastric bypass for morbid obesity, two Whipple cases for periampullary tumor, and seven cases of bowel resection. On the basis of this series, we were able to assess the utility of this device. Satisfactory pneumoperitoneum was maintained in 12 of 13 cases. The length of the skin incision was 7.8 cm on average, which was almost the same size as surgeon's glove. The device proved to be very useful for tissue retraction and abdominal exploration in all cases and for intracorporeal knot tying in some cases. We found that the device permitted an easier dissection, resection, and anastomosis. It also helped to decrease the operation time.

(PDF emailed within 0-6 h: $19.90)

Accession: 046211031

Download citation: RISBibTeXText

PMID: 9918620

DOI: 10.1007/s004649900928


Related references

Hand-assisted laparoscopic nephron-sparing surgery for suspected malignancy. Journal of Urology 163(4 Suppl ): 20, April, 2000

Obesity and morbid obesity are associated with a greater conversion rate to open surgery for standard but not hand assisted laparoscopic radical nephrectomy. Journal of Urology 180(6): 2357-62; Discussion 2362, 2008

Comparison of Gas-less laparoscopy-assisted surgery, hand-assisted laparoscopic surgery and pure laparoscopic surgery for radical nephrectomy. International Journal of Urology 11(3): 142-147, 2004

Influence of compression pressure from the hand access device on hand microcirculation during hand-assisted laparoscopic surgery. Surgical Endoscopy 23(5): 1070-1074, 2008

A comparison of hand-assisted laparoscopic surgery and conventional laparoscopic surgery in rectal cancer: a propensity score analysis. Surgical Endoscopy 30(6): 2449-2456, 2015

Combination of video-assisted thoracoscopic surgery and hand-assisted laparoscopic surgery for early cancer of the thoracic esophagus. International Surgery 89(3): 131-135, 2004

Hand-assisted laparoscopic surgery vs standard laparoscopic surgery for colorectal disease: a prospective randomized trial. HALS Study Group. Surgical Endoscopy 14(10): 896-901, 2000

Significance of thoracoscopy-assisted surgery with a minithoracotomy and hand-assisted laparoscopic surgery for esophageal cancer: the experience of a single surgeon. Journal of Gastrointestinal Surgery 15(11): 1939-1951, 2012

Comparison and short-term outcomes between hand-assisted laparoscopic surgery and conventional laparoscopic surgery for anterior resections of left-sided colon cancer. International Journal of Colorectal Disease 25(8): 975-981, 2010

Experience of hand-assisted laparoscopic renal surgery Comparison with gas-less laparoscopic surgery. Journal of Urology 163(4 Suppl ): 324, April, 2000

Laparoscopic and robot-assisted laparoscopic digestive surgery: Present and future directions. World Journal of Gastroenterology 22(6): 1975-2004, 2016

Hand-assisted laparoscopic renal surgery: hand-port incision complications. Journal of Endourology 18(8): 775-779, 2005

Hand-assisted laparoscopic surgery (HALS): a bridge to complex laparoscopic procedures. Jsls 9(2): 123-124, 2005

Laparoscopic treatment of splenomegaly: a case for hand-assisted laparoscopic surgery. Archives of Surgery 146(7): 818-823, 2011

Hand-assisted laparoscopic surgery (HALS): a useful technique for complex laparoscopic abdominal procedures. Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A 8(3): 143-150, 1998