Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hand-assisted laparoscopic colectomy: evolution to a clinically useful technique.

Garth H Ballantyne1, Patrick F Leahy

  • 1Minimally Invasive & Telerobotic Surgery, Hackensack University Medical Center, Hackensack, New Jersey 07601, USA. ghb@lapsurgery.com

Diseases of the Colon and Rectum
|April 10, 2004
PubMed
Summary

Hand-assisted laparoscopic colectomy has evolved through three phases, becoming a clinically useful surgical approach. Newer devices enhance this technique, allowing surgeons to seamlessly switch between hand-assisted and laparoscopic methods for colon and rectal diseases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A Novel Therapeutic Method in Gastro-esophageal Reflux Disease.

Surgical innovation·2023
Same author

A Novel Isobaric (Gas-Less) Laparoscopic Surgery Device.

Surgical innovation·2023
Same author

Sentinel Contributions of US Department of Veterans Affairs Surgeons in Shaping the Face of Health Care.

JAMA surgery·2021
Same author

Use of the surgical Apgar score to enhance Veterans Affairs Surgical Quality Improvement Program surgical risk assessment in veterans undergoing major intra-abdominal surgery.

American journal of surgery·2016
Same author

The surgical treatment of type II diabetes mellitus: changes in HOMA Insulin resistance in the first year following laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding (LAGB).

Obesity surgery·2009
Same author

One-year readmission rates at a high volume bariatric surgery center: laparoscopic adjustable gastric banding, laparoscopic gastric bypass, and vertical banded gastroplasty-Roux-en-Y gastric bypass.

Obesity surgery·2008

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Technology

Background:

  • Hand-assisted laparoscopic colectomy (HALC) represents a significant advancement in minimally invasive colorectal surgery.
  • The technique has evolved through distinct developmental phases, moving from exploratory use to a refined surgical approach.

Purpose of the Study:

  • To trace the developmental trajectory of hand-assisted colectomy.
  • To elucidate its evolution from an infrequent technique to a clinically valuable surgical option for colon and rectal conditions.

Main Methods:

  • This review synthesizes published data and experiences concerning hand-assisted laparoscopic colectomy.
  • Analysis of case reports, small trials, and larger series across different developmental phases.

Related Experiment Videos

Main Results:

  • Early phases demonstrated feasibility and time-saving benefits of HALC compared to purely laparoscopic colectomy.
  • Second-phase devices improved efficiency and showed comparable short-term outcomes to laparoscopic colectomy.
  • Current third-phase devices offer enhanced versatility, enabling selective use of hand-assisted and laparoscopic techniques within the same procedure.

Conclusions:

  • Hand-assisted colectomy has matured into a clinically effective and versatile surgical technique.
  • Advanced devices facilitate HALC and provide flexibility in surgical approach, integrating hand-assisted and laparoscopic methods.