Hand-assisted Laparoscopic Surgery: an Overview

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2000 Nov 18

PMID 11080398

Citations 16

Authors

D W Meijer

J J Bannenberg

J J Jakimowicz

Affiliations

Soon will be listed here.

Abstract

Background: Advanced laparoscopic surgery is complex and time-consuming. Achieving consistent efficacy and safety throughout the entire procedure is always a problem. For this reason, hand-assisted laparoscopic surgery (HALS) was developed.

Methods: Devices were designed to allow manual access to the abdomen through the utility laparotomy. By using one hand in the abdomen during laparoscopy, the surgeon regains direct tactile sensation and acquires improved hand-eye coordination. The safety of the individual devices has been tested in RCT for the registration of the individual devices. An index known as Surgical Action Efficiency was calculated for in six patients undergoing laparoscopic colon resection and six patients with hand-assisted colon resections.

Results: All of the registered devices are safe. Surgical Action Efficiency for the laparoscopy group was 55 +/- 14%; for the HALS group, it was 71 +/- 4%. This result is statistically significant (p < 0.05).

Conclusion: HALS is a safe and efficient method by which it is possible to combine the established convenience and safety of open surgery with the advantages of minimally invasive surgery.

Citing Articles

Hand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis.

Wang G, Zhou J, Sheng W, Dong M World J Surg Oncol. 2017; 15(1):215.

PMID: 29202820 PMC: 5716022. DOI: 10.1186/s12957-017-1277-2.

Role of Minimally Invasive Surgery in the Reoperative Abdomen or Pelvis.

Feigel A, Sylla P Clin Colon Rectal Surg. 2017; 29(2):168-180.

PMID: 28642675 PMC: 5477556. DOI: 10.1055/s-0036-1580637.

HandPort Laparoscopic Surgery-Review and Current Status.

Goel A Indian J Surg. 2015; 77(3):213-6.

PMID: 26246704 PMC: 4522265. DOI: 10.1007/s12262-013-1018-x.

Hand-assisted laparoscopic surgery using Gelport.

Gupta P, Bhartia V J Minim Access Surg. 2010; 1(3):110-5.

PMID: 21188007 PMC: 3001166. DOI: 10.4103/0972-9941.18994.

Advantages of the hand-assisted versus the open approach to elective colectomies.

Orenstein S, Elliott H, Reines L, Novitsky Y Surg Endosc. 2010; 25(5):1364-8.

PMID: 20953800 DOI: 10.1007/s00464-010-1368-4.

References

OReilly M, Saye W, Mullins S, Pinto S, Falkner P . Technique of hand-assisted laparoscopic surgery. J Laparoendosc Surg. 1996; 6(4):239-44. DOI: 10.1089/lps.1996.6.239. View

Gorey T, ORiordain M, Tierney S, Buckley D, Fitzpatrick J . Laparoscopic-assisted rectopexy using a novel hand-access port. J Laparoendosc Surg. 1996; 6(5):325-8. DOI: 10.1089/lps.1996.6.325. View

Wolf Jr J, Moon T, Nakada S . Hand assisted laparoscopic nephrectomy: comparison to standard laparoscopic nephrectomy. J Urol. 1998; 160(1):22-7. View

Gorey , Bonadio . Laparoscopic-Assisted Surgery. Semin Laparosc Surg. 1997; 4(2):102-109. DOI: 10.1053/SLAS00400102. View

Gerhart C . Hand-assisted laparoscopic transhiatal esophagectomy using the dexterity pneumo sleeve. JSLS. 1999; 2(3):295-8. PMC: 3015310. View

Watson D, Game P . Hand-assisted laparoscopic vertical banded gastroplasty. Initial report. Surg Endosc. 1997; 11(12):1218-20. DOI: 10.1007/s004649900574. View

Naitoh T, Gagner M, Garcia-Ruiz A, Heniford B, Ise H, Matsuno S . Hand-assisted laparoscopic digestive surgery provides safety and tactile sensation for malignancy or obesity. Surg Endosc. 1999; 13(2):157-60. DOI: 10.1007/s004649900928. View

Watson D, Davies N, Jamieson G . Totally endoscopic Ivor Lewis esophagectomy. Surg Endosc. 1999; 13(3):293-7. DOI: 10.1007/s004649900969. View

Wolf Jr J, Tchetgen M, Merion R . Hand-assisted laparoscopic live donor nephrectomy. Urology. 1998; 52(5):885-7. DOI: 10.1016/s0090-4295(98)00389-6. View

10.

Wolf Jr J, Moon T, Nakada S . Hand-assisted laparoscopic nephrectomy: technical considerations. Tech Urol. 1998; 3(3):123-8. View

11.

Vassallo C, Negri L, Della Valle A, Dono C, Martinotti R, Mussi P . Divided vertical banded gastroplasty either for correction or as a first-choice operation. Obes Surg. 1999; 9(2):177-9. DOI: 10.1381/096089299765553449. View

12.

Klingler P, Hinder R, Menke D, Smith S . Hand-assisted laparoscopic distal pancreatectomy for pancreatic cystadenoma. Surg Laparosc Endosc. 1998; 8(3):180-4. View

13.

Monson J, Darzi A, Carey P, Guillou P . Prospective evaluation of laparoscopic-assisted colectomy in an unselected group of patients. Lancet. 1992; 340(8823):831-3. DOI: 10.1016/0140-6736(92)92694-b. View

14.

. Handoscopic surgery: a prospective multicenter trial of a minimally invasive technique for complex abdominal surgery. Southern Surgeons' Club Study Group. Arch Surg. 1999; 134(5):477-85; discussion 485-6. View

15.

Nakada S . Hand-assisted laparoscopic nephrectomy. J Endourol. 1999; 13(1):9-14; discussion 14-5. DOI: 10.1089/end.1999.13.9. View

16.

Kusminsky R, Boland J, Tiley E, Deluca J . Hand-assisted laparoscopic splenectomy. Surg Laparosc Endosc. 1995; 5(6):463-7. View

17.

Bemelman W, Ringers J, Meijer D, de Wit C, Bannenberg J . Laparoscopic-assisted colectomy with the dexterity pneumo sleeve. Dis Colon Rectum. 1996; 39(10 Suppl):S59-61. DOI: 10.1007/BF02053807. View