Colectomy
Nephrectomy
Liver Resection
AAA Repair
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Title: |
Hand-Assisted Laparoscopic vs. Laparoscopic Colorectal Surgery: A Multicenter,
Prospective, Randomized Trial |
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Published: |
2008 April - Diseases of
the Colon & Rectum |
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Authors: |
Peter W. Marcello,
James W. Fleshman,
Jeffrey W. Milsom,
Thomas E. Read,
Tracey D. Arnell,
Elisa H. Birnbaum,
Daniel L. Feingold,
Sang W. Lee,
Matthew G. Mutch,
Toyooki Sonoda,Yan Yan,Richard L. Whelan |
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Summary: |
"In this prospective, randomized study, hand-assisted laparoscopic colorectal
surgery resulted in significantly shorter operative time compared with straight
laparoscopic surgery. There were no clinically significant differences in the
postoperative outcome with regard to return of bowel function, tolerance of
diet, length of stay, postoperative pain scores, or analgesic use. A
hand-assisted laparoscopic approach may be considered another tool in the
surgeon's armamentarium of minimally invasive techniques for the treatment of
colorectal diseases." |
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Link: |
Click Here to View Full Article
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Title: |
The Role of Hand-Assisted Laparoscopy in Expanding Minimally Invasive Surgery
for Complex Colectomies |
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Published: |
2008 March - Journal of the American College of Surgeons |
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Authors: |
Robert R. Cima, MD, MA, FACS, Jirawat Pattana-arun, MD, David W. Larson, MD,
FACS, Eric J. Dozois, MD, FACS, Bruce G. Wolff, MD, FACS, John H. Pemberton, MD,
FACS |
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Summary: |
"HALS increased the number of MACs performed. More notably, HALS was used
preferentially for complex colectomies. HALS effectively bridges the complexity
divide between minimal access and open procedures. HALS may serve as a
technology to expand MAC." |
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Link: |
Click Here to View Full Article |
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Title: |
How a hand-assist can help in lap colectomy
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Published: |
2007 January - Contemporary Surgery |
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Authors: |
Robert Cima, M.D., John Pemberton, M.D. |
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Summary: |
"Our own institutional experience as well as that of others supports the use of
HALS as an acceptable approach to left-sided colon resections and anterior
resections. We recently reported our initial experience with HALS colectomy,
which has grown rapidly since it was first introduced into our practice in early
2004.
In 2003 at the Mayo Clinic, we performed 113 laparoscopic colectomies without
any HALS cases. However, in the 18 months after the introduction of HALS, our
group performed 187 HALS colectomies. The primary indications for HALS
procedures were ulcerative colitis (37%), cancer (20%) and diverticulitis (18%).
Furthermore, 113 of those cases were complex colectomies compromised of total
proctocolectomies, subtotal colectomies, ileoanal pouch procedures, and rectal
cancer surgeries. An analysis of our HALS colectomies for cancer (N=38) showed
68% were for left sided or rectal cancers. In this subset, no anastomotic leaks
were reported and the wound infection rate was 5%.
Overall, we have found HALS to be an extremely useful technique for complex
colorectal procedures while maintaining the short-term clinical benefits of
laparoscopy." |
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Link: |
Click
Here to View Full Article |
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Title: |
Hand-Assisted Laparoscopic Colectomy Techniques |
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Published: |
2003 December -
Surgical Innovation |
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Authors: |
Rasmy Loungnarath M.D.|FRCSC, James W. Fleshman M.D.|FACS|FASCRS |
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Summary: |
"It has been our experience that the use of HALS permits the expansion of
laparoscopic surgery to more complex cases. Furthermore, a decrease in the
operative time of 30 to 60 minutes is realized compared with SLS-assisted
procedures, with more time being saved on complex cases." |
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Link: |
Click Here to
View Full Article |
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Title: |
Hand-assisted laparoscopic sigmoid colectomy: helping hand or hindrance? |
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Published: |
2005 March - Journal of Cardiovascular Surgery
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Authors: |
Kolvenbach R., Chang YJ, Marcello PW, Rusin LC, Roberts PL, Schoetz DJ |
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Summary: |
"The results lend support to most of the prior studies and suggest the hand
assisted approach is a viable alternative and perhaps even superior to standard
laparoscopic colectomy. We believe that the introduction of the hand is helpful
for most surgeons and not a hindrance to the performance of laparoscopic
colectomy." |
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Link: |
Click Here
to View Full Article |
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Title: |
Adoption of Laparoscopic Colectomy: Results and Implications of ASCRS Hands-On
Course Participation |
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Published: |
2006 May - Surgical Innovation |
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Authors: |
Howard M. Ross, MD, FACS, FASCRS; James W. Fleshman, MD, FACS, FASCRS; Clifford
L. Simmang, MD, FACS, FASCRS; Peter W. Marcello, MD, FACS, FASCRS |
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Summary: |
"Cadaver course completion enables rapid integration of laparoscopic colon
resection into clinical practice and was highly valued. Experience prior to
laparoscopic resection of cancer is modest. Hand Assisted technologies promote
technique acquisition." |
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Link: |
Click Here
to View Full Article |
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Title: |
Hand Assisted Laparoscopic Devices: The Second Generation |
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Published: |
2004 September - Journal of Endourology / Endourology Society |
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Authors: |
Rupa Patel, M.D.; Michael D. Stifelman, M.D. |
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Summary: |
"The HAL procedure relies heavily on devices that allow the hand to be introduced into the
laparoscopic environment. the GelPort, when evaluated in a porcine model by training laparoscopic
urologists, appears to be significantly better than other devices available to date. Further testing
with larger cohorts and human clinical trials are required to confirm these findings." |
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Link: |
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Title: |
HALS for live donor nephrectomy is more time- and cost-effective than standard
laparoscopic nephrectomy |
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Published: |
2002 March - Surgical Endoscopy |
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Authors: |
P. Lindström; J. Wadström; M. Häggman |
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Summary: |
"In conclusion, hand assisted laparoscopic nephrectomy in living donor kidney
transplantation can be recommended as a technique that increases the confidence
of the operating surgeon and the safety margin of the procedure. In addition to
its shorter operating time and warm ischemia time, HALS offers particular
advantages during trocar placement for the prevention of torsion of the kidney
and control of potential bleedings, and in the final hazardous stages of
vascular stapling and kidney removal." |
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Link: |
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View Full Article |
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Title: |
A single-centre experience of 40 laparoscopic liver resections |
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Published: |
2006 December - Hong Kong Medical Journal |
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Authors: |
CN Tang, KK Tsui, JPY Ha, GPY Yang, MKW Li |
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Summary: |
"As the feasibility, safety and adequacy of resection are guaranteed, and the long-term outcomes appear similar to those of open surgery, laparoscopic liver resection can be attempted whenever the necessary expertise is available. However, careful case selection is nevertheless very important.
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Link: |
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Title: |
Laparoscopic assisted aortic surgery : A review |
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Published: |
2006 October - The Journal of Cardiovascular Surgery |
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Authors: |
Kolvenbach R.; Ferrari M., Shifrin E. G. |
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Summary: |
"Laparoscopic assisted techniques are a less invasive alternative to open surgery as well as to
total laparoscopic techniques. They can be used in the majority of patients permitting even more
complex suprarenal procedures with clamping times identical to open surgery but a significantly
reduced access trauma. We can anticipate that future developments like staplers will makes this
approach even more attractive." |
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Link: |
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