Total Abdominal Colectomy: Hand-Assisted Approach

  • Kiyokazu NakajimaEmail author
  • Tsunekazu Mizushima
  • Riichiro Nezu


Hand-assisted laparoscopic surgery (HALS) is a safe and practical alternative to straight laparoscopy. An adequate selection of suitable surgical devices (hand-access device and energy device), as well as intentional use of “palm-down” and “palm-up” techniques, will allow HALS to become a more comfortable and standardized procedure for complex and extensive colorectal procedures (e.g., total abdominal colectomy).


Ulcerative Colitis Ileorectal Anastomosis Total Abdominal Colectomy Colonic Mobilization Straight Laparoscopic 
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Supplementary material

Video 9.1

“Palm-down” technique for HALS (MP4 199,681 kb)

Video 9.2

“Palm-up” technique for HALS (MP4 168,830 kb)

Video 9.3

Identifying the ureter (video by David Rivadeneira, MD) (MP4 107,101 kb)

Video 9.4

“Move-the-ground” technique for HALS (MP4 76,208 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Kiyokazu Nakajima
    • 1
    Email author
  • Tsunekazu Mizushima
    • 1
  • Riichiro Nezu
    • 2
  1. 1.Department of Gastroenterological SurgeryOsaka University Graduate School of MedicineSuita, OsakaJapan
  2. 2.Department of SurgeryNishinomiya Municipal Central HospitalNishinomiyaJapan

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