+ 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 hepatic resection



Hand-assisted laparoscopic hepatic resection



Surgical Endoscopy 16(9): 1363



Thanks to recent advances, performance of liver resection is now possible using laparoscopic procedures. However, still there are some difficulties to overcome. The hand-assisted method lends safety and reliability to the laparoscopic procedure. A 54-year-old man diagnosed with hepatocellular carcinoma (HCC) was referred for hepatectomy. Angiography with computed tomography (CT) scans revealed a 2-cm hepatocellular carcinoma (HCC) at segment V, close to the gallbladder. A hand-assisted laparoscopic hepatic resection was performed. Four 10-mm trocars, one for wall lifting and three for working, were placed in the upper abdomen. A small incision was added at the right side of umbilicus, and the operator's left hand was inserted through it. A microwave tissue coagulator and laparoscopic ultrasonic dissector were used for liver resection. Total operation time was 162 min; blood loss was 20 g. The postoperative course was uneventful, and the postoperative hospital stay was 7 days. We thus demonstrated that laparoscopic liver resection is safer and easier when the hand of the operator can be inserted into the abdomen. The small incision does not greatly diminish the benefits that accrue from minimally invasive laparoscopic surgery. The hand-assisted procedure allows better access to the tumor. In addition, hand assistance restores the sense of touch to the operator and is an effective means of controlling sudden and unexpected bleeding.

(PDF emailed within 1 workday: $29.90)

Accession: 046211042

Download citation: RISBibTeXText

PMID: 12235510


Related references

Risk of gas embolism in hand-assisted versus total laparoscopic hepatic resection. Surgical Technology International 12: 137-143, 2004

Cyst wall resection and ablation by hand-assisted laparoscopic surgery combined with argon plasma coagulator for huge hepatic cysts. International Surgery 92(6): 361-366, 2008

Treatment of hepatocellular carcinoma--partial hepatic resection under hand-assisted laparoscopic surgery and local ablation therapy with ethanol and radio frequency. Gan to Kagaku Ryoho. Cancer and ChemoTherapy 29(12): 2425-2428, 2002

Emergency hand-assisted laparoscopic haemostasis for post-operative haemorrhage following laparoscopic liver resection. Journal of Minimal Access Surgery 14(2): 171-173, 2017

Approaches to laparoscopic liver resection: a meta-analysis of the role of hand-assisted laparoscopic surgery and the hybrid technique. Journal of Hepato-Biliary-Pancreatic Sciences 22(5): 335-341, 2016

The Feasibility of Hand-assisted Laparoscopic and Laparoscopic Multivisceral Resection Compared With Open Surgery for Locally Advanced Colorectal Cancer. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques 27(4): E57-E65, 2018

Multimodality laparoscopic liver resection for hepatic malignancy--from conventional total laparoscopic approach to robot-assisted laparoscopic approach. International Journal of Surgery 9(4): 324-328, 2011

Hand-assisted laparoscopic pancreatic resection. Seminars in Laparoscopic Surgery 8(2): 114-125, 2001

One-stage minimally invasive combined laparoscopic hepatic resection and robot-assisted right hemicolectomy and abdominoperineal resection - a video vignette. Colorectal Disease 16(11): 930, 2015

Hand-assisted laparoscopic low anterior resection for rectal carcinoma. Journal of Laparoendoscopic and Advanced Surgical Techniques. Part a 15(6): 611-614, 2005

Laparoscopic hand-assisted hepatic surgery. Seminars in Laparoscopic Surgery 8(2): 104-113, 2001

Hand-assisted laparoscopic low anterior resection: initial experience with a new procedure. Surgical Endoscopy 16(3): 431-435, 2002

Hand-assisted laparoscopic surgery in radical resection of rectal cancer. Zhonghua Wai Ke Za Zhi 50(7): 622-624, 2013

Laparoscopic- vs. hand-assisted ultralow anterior resection: a prospective study. Diseases of the Colon and Rectum 51(1): 26-31, 2007

Hand-assisted laparoscopic liver resection: lessons from an initial experience. Archives of Surgery 135(7): 854-859, 2000