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HandPort Laparoscopic Surgery—Review and Current Status

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Abstract

HandPort laparoscopic surgery is a hybrid operation that allows the surgeon to introduce his nondominant hand into abdominal cavity through the port while maintaining pneumoperitoneum. It also helps to gain experience and expertise to learn advanced laparoscopic procedures. The common surgeries where HandPort is useful are laparoscopic splenectomy, colectomies, and donor nephrectomies. HandPort facilitates dissection and extraction of specimens. Hand in abdomen restores tactile sensation which is lacking in laparoscopic procedures. It reduces operative time, increases technical expertise of surgeon, and decreases blood loss. This article reviews the current status of HandPort laparoscopic surgery, the various HandPort devices, and their use.

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References

  1. Cuschieri A, Shapiro S (1995) Extrapeitoneal pneumoperitoneal access bubble for endoscopic surgery. Am J Surg 170(4):391–394

    Article  CAS  PubMed  Google Scholar 

  2. Stifelman M, Nieder AM (2002) Prospective comparison of hand assisted laparoscopic devices. Urology 59(5):668–672

    Article  PubMed  Google Scholar 

  3. Targorana E, Gracia E, Garriga J, Martinez C, Cortes M, Boluda R, Lerma L, Trias M et al (2002) Prospective randomized trial comparing conventional laparoscopic colectomy and hand assisted laparoscopic colectomy, applicability, immediate clinical outcome, inflammatory response and cost. Surg Endosc 16(2):234–239

    Article  Google Scholar 

  4. Nakajima K, Lee SW, Cocilovo C, Foglia C, Sonoda T, Milsom JW (2004) Laparoscopic total colectomy; hand assisted versus standard technique. Surg Endosc 18:582–586

    Article  CAS  PubMed  Google Scholar 

  5. Targorana E, Belague C, Cerdan G, Espert JJ, Lacy AM, Visa J, Tries M (2002) Hand assisted laparoscopic splenectomy, HALS in cases of splenomegaly: a comparison analysis with conventional laparoscopic splenectomy. Surg Endosc 16(3):426–430

    Article  Google Scholar 

  6. Rosen M, Brody F, Walsh RM, Ponsky JJL (2002) Hand assisted laparoscopic splenectomy vs conventional laparoscopic splenectomy in cases of splenomegaly. Arch Surg 12(137):1348–1352

    Article  Google Scholar 

  7. Gary G, Birch DW, Karmal S (2013) Minimal invasive splenectomy:an update and review. Can J Surg 56(4):280–285

    Article  Google Scholar 

  8. Borrazzo EC, Daly JM, Morrisey KP, Fischer E, Belmont M, Hogle NJ, Fowler DL (2003) Hand assisted laparoscopic surgery. Arch Surg 17(6):918–920

    CAS  Google Scholar 

  9. Meijer DW, Bannenberg JJ, Jakimowiez JJ (2000) Hand assisted laparoscopic surgery, an overview. Surg Endosc 14:891–895

    Article  CAS  PubMed  Google Scholar 

  10. Targarona E, Gracia E, Rodriguez M, Cerdan G, Balague C, Garriga J, Trias M (2003) Hand assisted laparoscopic surgery. Arch Surg 138(2):133–141

    Article  PubMed  Google Scholar 

  11. Wolf JS, Merion RM, Leichtman AB, Campbell DA, MageeJC PJD (2001) Randomized controlled trial of hand assisted laparoscopic versus, open surgical live donor nephrectomy. Transplantation 72:284–290

    Article  PubMed  Google Scholar 

  12. Bemelman WA, Van Doorn R, Dewit L, Kox C, Surachno J, Busch OR, Gouma DJ (2001) Hand assisted laparoscopic donor nephrectomy. Surg Endosc 15:442–445

    Article  CAS  PubMed  Google Scholar 

  13. Kircher K, Dahl D, Harland R, Blute R, Gallegher K, Litwin D (2001) Hand assisted laparoscopic donor nephrectomy minimizes warm ischaemia. Urology 58(2):152–156

    Article  Google Scholar 

  14. Nakajima I, Tojumbera T, Sato S, Kai K, Kawase T, Nakamura M, Fuchnovo S (2004) Hand assisted laparoscopic live donor nephrectomy; report of 100 cases. Transplant Proc 7:898–900

    Google Scholar 

  15. Lahhas CD, Castle EP, Andrews PE (2006) Handport use for extraction during laparoscopic donor nephrectomy. Urology 67(4):706–708

    Article  Google Scholar 

  16. Meshikhis AW, El Tahir M, Al Ghazal T (2011) Hand assisted laparoscopic colorectal surgery, initial experience of single surgeon. Saudi J Gastroenterol 17(1):16–19

    Article  Google Scholar 

  17. Dai LH, Xu B, Zhu GH (2006) Hand assisted laparoscopic surgery of abdominal large visceral organs. World J Gastroenterol 12(29):4736–4740

    PubMed Central  PubMed  Google Scholar 

  18. HALS Study Group (2000) Hand assisted laparoscopic surgery for colorectal disease. A prospective randomized trial. Surg Endosc 14(10):896–901

    Article  Google Scholar 

  19. Cobb WS, Carbonell AM, Snipes GM, Knott B, Le V, Bour ES, Scott JD, Lokey JS (2012) Incisional hernia risk after hand laparoscopic surgery. Am Surg 78(8):864–869

    PubMed  Google Scholar 

  20. Sundbom M, Gustavsson S (2000) Hand assisted laparoscopic Roux-en-Y gastric bypass: aspects of surgical technique and early results. Obes Surg 10(5):420–427

    Article  CAS  PubMed  Google Scholar 

  21. Brotherton J, Mccarus S, Jones KY, Redan J, Kim JC (2010) The role of hand assist laparoscopic surgery in pelvic surgery for non-malignant disease. JSLS 14(1):70–79

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

The author is grateful for the photographs contributed by Dr PK Chowbey, Chairman, Department of Minimal Access Surgery, Max Hospital, Saket, New Delhi, India.

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Correspondence to Amit Goel.

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Goel, A. HandPort Laparoscopic Surgery—Review and Current Status. Indian J Surg 77, 213–216 (2015). https://doi.org/10.1007/s12262-013-1018-x

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  • DOI: https://doi.org/10.1007/s12262-013-1018-x

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