Hand-assisted laparoscopic colorectal surgery

被引:42
作者
Darzi, A [1 ]
机构
[1] Univ London Imperial Coll Sci Technol & Med, Acad Dept Surg Oncol & Technol, London W2 1PG, England
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 2000年 / 14卷 / 11期
关键词
D O I
10.1007/s004640000325
中图分类号
R61 [外科手术学];
学科分类号
摘要
Hand-assisted laparoscopic surgery is a newly developed technique. It involves the intraabdominal placement of a hand or forearm through a mini-laparotomy incision while pneumoperitoneum is maintained. In this way, the hand can be used as in an open procedure to palpate organs or tumors, reflect organs atraumatically, retract structures, identify vessels, dissect bluntly along a tissue plain, and provide finger pressure to bleeding points while proximal control is achieved. Additionally, this approach is more economical than a totally laparoscopic approach, reducing both the number of laparoscopic ports and number of instruments required. Some advocates of the technique claim that it is also easier to learn and perform than totally laparoscopic approaches and that it may increase patient safety.
引用
收藏
页码:999 / 1004
页数:6
相关论文
共 15 条
  • [11] SCOTT HJ, 1997, B J SURG, V84, P1006
  • [12] SUPERIOR NITROGEN-BALANCE AFTER LAPAROSCOPIC-ASSISTED COLECTOMY
    SENAGORE, AJ
    KILBRIDE, MJ
    LUCHTEFELD, MA
    MACKEIGAN, JM
    DAVIS, AT
    MOORE, JD
    [J]. ANNALS OF SURGERY, 1995, 221 (02) : 171 - 175
  • [13] LAPAROSCOPIC-ASSISTED COLECTOMY LEARNING-CURVE
    SIMONS, AJ
    ANTHONE, GJ
    ORTEGA, AE
    FRANKLIN, M
    FLESHMAN, J
    GEIS, WP
    BEART, RW
    [J]. DISEASES OF THE COLON & RECTUM, 1995, 38 (06) : 600 - 603
  • [14] LAPAROSCOPIC RADICAL NEPHRECTOMY WITH INTRAABDOMINAL MANIPULATION
    TIERNEY, JP
    OLIVER, SR
    KUSMINSKY, RE
    TILEY, EH
    BOLAND, JP
    [J]. MINIMALLY INVASIVE THERAPY, 1994, 3 (06): : 303 - 305
  • [15] LAPAROSCOPIC COLORECTAL SURGERY - A PROSPECTIVE ASSESSMENT AND CURRENT PERSPECTIVE
    WEXNER, SD
    COHEN, SM
    JOHANSEN, OB
    NOGUERAS, JJ
    JAGELMAN, DG
    [J]. BRITISH JOURNAL OF SURGERY, 1993, 80 (12) : 1602 - 1605