Total Abdominal Colectomy: Hand-Assisted Approach
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).
KeywordsUlcerative Colitis Ileorectal Anastomosis Total Abdominal Colectomy Colonic Mobilization Straight Laparoscopic
“Palm-down” technique for HALS (MP4 199,681 kb)
“Palm-up” technique for HALS (MP4 168,830 kb)
Identifying the ureter (video by David Rivadeneira, MD) (MP4 107,101 kb)
“Move-the-ground” technique for HALS (MP4 76,208 kb)
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