+ Site Statistics
+ 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 laparoscopy

Hand-assisted laparoscopy

Archivos Espanoles de Urologia 54(4): 349-352

Laparoscopic surgery has not been extended enough among the urologists due to the inaccessibility of the retroperitoneal organs and consequently to the steep learning curve that is required. In this article we describe our experience in laparoscopic surgery assisted by the surgeon's hand introduced in the operating field. This is a technique that we have been using since 1994 and that has not been generally accepted until very recently. Difficult nephrectomies and nephroureterectomies are considered to be the main indications for this technique. The approach to each kidney is described. The operating time is dramatically reduced. The surgeon's hand introduced intra-abdominally allows for a better control in difficult situations. The economic cost is lower. The use of analgesics and the recovery time in the postoperative period is similar to that of conventional laparoscopy. The optimal indication for this procedure are cases that require a very large and mutilating incision. The learning curve is significantly easier and it is an invaluable technique in cases considered until now to be unsuitable for an endoscopic procedure.

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

Accession: 046211096

Download citation: RISBibTeXText

PMID: 11455769

DOI: 10.1097/01.cot.0000295913.69575.98

Related references

Urological laparoscopy Is the learning curve really less steep with hand assisted laparoscopy. European Urology Supplements 1(1): 28, January, 2002

Nephron sparing surgery for renal masses Standard pure laparoscopy vs hand-assisted laparoscopy. Journal of Endourology 15(Supplement 1): A49, November, 2001

Comparison and clinical evaluation of hand-assist devices for hand-assisted laparoscopy. Techniques in Urology 7(1): 57-61, 2001

Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy: a prospective study. Surgical Endoscopy 28(10): 2998-3006, 2015

Conversion from pure laparoscopy to hand-assisted laparoscopy for control of bleeding in renal surgery: an attractive alternative to open conversion. Journal of Endourology 25(1): 81-84, 2011

Hand-assisted laparoscopy: con. Urology 58(3): 313-317, 2001

Hand-assisted laparoscopy with the LAP DISC. European Urology Supplements 3(2): 222, February, 2004

The advantages of hand-assisted laparoscopy. Current Urology Reports 5(2): 100-107, 2004

Hand-assisted laparoscopy in urology. Reviews in Urology 3(2): 63-71, 2006

Hand-assisted urological laparoscopy. Current Opinion in Urology 12(3): 233-237, 2002

Hand-assisted laparoscopy on a shoestring. Anz Journal of Surgery 77(9): 765-767, 2007

Hand-assisted laparoscopy for complex hysterectomy. Journal of the American Association of Gynecologic Laparoscopists 6(2): 183-188, 1999

Hand-assisted laparoscopy for pelvic malignancy. Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A 10(3): 143-150, 2000

Urologic applications of hand-assisted laparoscopy. Journal of the Arkansas Medical Society 103(1): 13-15, 2006