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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Video

Updated: Jun 5, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

Hand-assisted laparoscopic surgery using Gelport.

Puneet Gupta1, V K Bhartia

  • 1Institute of Minimally Invasive Surgery, AMRI Hospitals, Kolkata, India.

Journal of Minimal Access Surgery
|December 29, 2010
PubMed
Summary
This summary is machine-generated.

Hand-assisted laparoscopic surgery (HALS) offers improved tactile sensation and depth perception, simplifying complex procedures. This minimally invasive technique shows promise in reducing operating times and conversion rates while maintaining oncological principles.

Keywords:
Gelporthand-assisted laparoscopic surgeryhand-assisted laparoscopic surgery colectomy

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Last Updated: Jun 5, 2026

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Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Minimally invasive surgery (MIS) has advanced general surgery, but complex procedures face slower adoption due to limitations like 2D visualization and lack of tactile feedback.
  • Hand-assisted laparoscopic surgery (HALS) emerged to address these challenges, aiming to enhance surgical capabilities.

Purpose of the Study:

  • To evaluate the safety and efficacy of Hand-assisted laparoscopic surgery (HALS) for advanced surgical procedures.
  • To assess HALS in terms of operating time, conversion rates, and oncological outcomes.

Main Methods:

  • Eighteen HALS procedures were performed between July 2003 and January 2005, including colectomy, nephrectomy, and splenectomy.
  • Patient consent for Gelport use was obtained; data on demographics, operative details, and outcomes were collected.

Main Results:

  • HALS was successfully completed in 17 out of 18 patients, preserving oncological principles.
  • Mean operating times varied by procedure, with excellent postoperative recovery and an average hospital stay of 5 days.
  • One case required conversion to open surgery due to a large, adherent tumor; histopathology confirmed wide margins.

Conclusions:

  • HALS provides tactile sensation and depth perception, potentially simplifying complex surgeries.
  • The technique may reduce operating time and conversion rates while upholding oncological standards.
  • HALS offers a balanced approach, benefiting both novice and experienced laparoscopic surgeons.