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Related Experiment Videos

Laparoscopic hand-assisted hepatic surgery.

A Cuschieri1

  • 1Department of Surgery and Molecular Oncology, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland. acuschieri@dundee.ac.uk

Seminars in Laparoscopic Surgery
|July 7, 2001
PubMed
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Hand-assisted laparoscopic surgery (HALS) with the Omniport device offers advantages for hepatic resections. This approach facilitates procedures, improves exposure, and allows efficient bleeding control, demonstrating good outcomes in initial experiences.

Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Technology

Background:

  • Traditional total laparoscopic hepatic resections present challenges.
  • Hand-assisted laparoscopic surgery (HALS) offers potential benefits for complex procedures.

Purpose of the Study:

  • To report the initial experience with hand-assisted laparoscopic surgery (HALS) using the Omniport device for hepatic resections.
  • To evaluate the feasibility and outcomes of the HALS-Omniport approach in liver surgery.

Main Methods:

  • The study involved 10 anatomic hepatic resections and 5 in situ ablations using the HALS-Omniport technique.
  • The Omniport device was utilized to maintain pneumoperitoneum during hand insertion and withdrawal.

Main Results:

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  • Good outcomes were observed in most hepatic resections, with one case requiring laparotomy due to complications.
  • The HALS-Omniport approach facilitated procedures, improved exposure, and enabled efficient bleeding control.
  • The Omniport device effectively maintained pneumoperitoneum throughout all procedures.

Conclusions:

  • Hand-assisted laparoscopic surgery (HALS) with the Omniport device is a viable and advantageous approach for hepatic resections and selected ablations.
  • This technique enhances surgical efficiency, surgeon comfort, and intraoperative control, particularly for challenging liver lesions.