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Hand-assisted laparoscopic surgery

An overview

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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 handeye 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%. his 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.

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Authors and Affiliations

  1. Department of Experimental Surgery, Academic Medical Center, IWO Gebouw I-151, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    D. W. Meijer & J. J. G. Bannenberg

  2. Department of Surgery, Catharina Hospital, Michaelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands

    J. J. Jakimowicz

Authors
  1. D. W. Meijer
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  2. J. J. G. Bannenberg
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  3. J. J. Jakimowicz
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Additional information

Online publication: 17 May 2000

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Meijer, D.W., Bannenberg, J.J.G. & Jakimowicz, J.J. Hand-assisted laparoscopic surgery. Surg Endosc 14, 891–895 (2000). https://doi.org/10.1007/s004640020019

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  • DOI: https://doi.org/10.1007/s004640020019

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