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Prospective experience with a second-generation hand-assisted laparoscopic device and comparison with

Abhay Rané¹, Prokar Dasgupta

¹Department of Urology, East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH, UK. arane@btinternet.com

Journal of Endourology

|January 28, 2004

Summary

The GelPort hand-assisted laparoscopy device offers improved ease of use and robustness compared to earlier models. Despite a higher cost, its user-friendliness makes it a superior option for laparoscopic procedures.

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Area of Science:

Urology
Minimally Invasive Surgery
Surgical Devices

Background:

Hand-assisted laparoscopy (HAL) devices facilitate minimally invasive surgical procedures.
First-generation HAL devices include the Handport (1999) and Intromit (1998).
The second-generation GelPort HAL device was introduced in the UK in 2001.

Purpose of the Study:

To compare the performance of the second-generation GelPort HAL device with first-generation devices (Handport and Intromit).
To evaluate ease of application, device placement time, and perioperative complications associated with each HAL device.

Main Methods:

Prospective comparison of HAL devices in various urological surgeries (radical nephrectomies, nephroureterectomies, simple nephrectomies).
Key outcome measures included device application time, ease of use, and device-specific complications.

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Data collected from operations using GelPort (n=17), Handport (n=7), and Intromit (n=5).

Main Results:

GelPort demonstrated the shortest average placement time (5 minutes) compared to Handport (10 minutes) and Intromit (15 minutes).
The Intromit experienced two leaks, while the Handport frequently had issues with 'pop-outs' requiring resufflation.
GelPort was rated easiest to use and did not exhibit the complications seen with older devices.

Conclusions:

The GelPort represents a more user-friendly and robust hand-assisted laparoscopy device.
While more expensive than first-generation devices, GelPort offers significant advantages in usability and reliability.