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Hand-assisted laparoscopic surgery: an emerging technique.
M S Kurian1, E Patterson, V E Andrei
1Division of Laparoscopic Surgery, Mount Sinai Medical Center, New York, NY, USA.
Surgical Endoscopy
|December 1, 2001
Summary
Hand-assisted laparoscopic surgery enhances tactile feedback and control during procedures. While not universally required, it offers advantages for specific complex surgeries and patient recovery.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
Background:
- Laparoscopic surgery can result in a loss of tactile feedback compared to open procedures.
- Hand-assisted laparoscopic surgery (HALS) aims to restore tactile sensation and improve surgical control.
- Postoperative discomfort is comparable between traditional laparoscopic and HALS procedures.
Purpose of the Study:
- To review the current literature and available devices for hand-assisted laparoscopic surgery.
- To synthesize expert opinions on the utility of hand-assisted laparoscopic techniques.
Main Methods:
- Literature review of hand-assisted laparoscopic surgery.
- Analysis of hand-assisted laparoscopic devices on the market.
- Inclusion of expert surgeon opinions on HALS.
Main Results:
- Over 100 hand-assisted laparoscopic procedures have been documented.
- Multiple companies offer hand-assisted laparoscopic devices, with several FDA-approved options.
- Expert surgeons report benefits in specific surgical scenarios.
Conclusions:
- Hand-assisted laparoscopic surgery is not essential for all laparoscopic procedures.
- HALS is beneficial for en bloc resections, solid organ tumor removal, and donor nephrectomy.
- The technique is advantageous when larger incisions are needed, such as for open colon anastomosis.