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Hand-assisted gastroesophageal surgery.

R E Glasgow¹, L L Swanstrom

¹Department of Minimally Invasive Surgery, Legacy Health System, Portland, OR, USA.

Seminars in Laparoscopic Surgery

|July 7, 2001

Summary

Hand-assisted laparoscopic surgery (HALS) enhances advanced procedures by restoring tactile feedback and aiding dissection. It offers a valuable alternative to open surgery for complex gastroesophageal operations.

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Area of Science:

Minimally Invasive Surgery
Surgical Technology

Background:

Advanced laparoscopic procedures often present challenges in tactile feedback and retraction.
Conversion to open surgery can be necessary for complex cases.

Purpose of the Study:

To review the utility of hand-assisted laparoscopic surgery (HALS) in advanced laparoscopic procedures.
To familiarize surgeons with HALS for complex gastroesophageal operations.

Main Methods:

Review of literature on hand-assisted laparoscopic surgery.
Focus on applications in gastrectomy, esophagectomy, and bariatric surgery.

Main Results:

HALS restores tactile feedback, crucial for complex dissection.
The hand-assist device improves retraction capabilities.
HALS serves as an effective alternative to open conversion.

Conclusions:

Hand-assisted laparoscopic surgery is a valuable tool for advanced laparoscopic surgery.
HALS is particularly beneficial for technically demanding gastroesophageal procedures.
Surgeons can enhance their capabilities with HALS in complex operations.

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