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Hand-assisted laparoscopic colorectal surgery using GelPort

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Abstract

Background: An easily usable hand access device will optimize success in hand-assisted laparoscopic surgery (HALS). The authors describe their initial series of HALS colorectal resections using GelPort to evaluate their current technique and results with this new device. Methods: A retrospective study investigated 33 HALS colorectal procedures including total colectomy (n = 16) and low anterior resection (n = 10). All operative data, including intraoperative GelPort performance, were prospectively recorded and retrospectively analyzed. Results: In this study, 3 (9.1%) of 33 HALS procedures were converted to open surgery, and 4 (13.3%) of 30 HALS procedures required minimal enlargement of incisions to facilitate extracorporeal procedures. The operative time was 263 ± 85 min, and the blood loss was 282 ± 148 ml. There were no device malfunctions. Three major complications (9.1%) and 7 minor wound infections (21%) were noted postoperatively. The mean hospital stay was 7.9 ± 3.8 days. Conclusion: When performed with GelPort, HALS is safely and reliably applicable for various colorectal procedures.

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References

  1. A Darzi (2000) ArticleTitleHand-assisted laparoscopic colorectal surgery. Surg Endosc 14 999–1004 Occurrence Handle10.1007/s004640000325 Occurrence Handle1:STN:280:DC%2BD3M%2FovFCisg%3D%3D Occurrence Handle11116405

    Article  CAS  PubMed  Google Scholar 

  2. InstitutionalAuthorNameHALS Study Group (2000) ArticleTitleHand-assisted laparoscopic surgery (HALS) with the Handport system: initial experience with 68 patients. Ann Surg 231 715–723 Occurrence Handle1:STN:280:DC%2BD3c3jtFCksQ%3D%3D Occurrence Handle10767793

    CAS  PubMed  Google Scholar 

  3. InstitutionalAuthorNameHALS Study GroupHALS Study Group (2000) ArticleTitleHand-assisted laparoscopic surgery vs standard laparoscopic surgery for colorectal disease: a prospective randomized trial. Surg Endosc 14 896–901

    Google Scholar 

  4. DW Meijer JJG Bannenberg JJ Jakimowicz (2000) ArticleTitleHand-assisted laparoscopic surgery: an overview. Surg Endosc 14 891–895 Occurrence Handle1:STN:280:DC%2BD3M7gvFOrsA%3D%3D Occurrence Handle11080398

    CAS  PubMed  Google Scholar 

  5. JW Milsom B Böhm (1996) Laparoscopic colorectal surgery. Springer New York 134–193

    Google Scholar 

  6. A Pietrabissa C Moretto A Carobbi U Boggi M Ghilli F Mosca (2002) ArticleTitleHand-assisted laparoscopic low anterior resection: initial experience with a new procedure. Surg Endosc 16 431–435 Occurrence Handle10.1007/s00464-001-9084-8 Occurrence Handle1:STN:280:DC%2BD387psFSiug%3D%3D Occurrence Handle11928022

    Article  CAS  PubMed  Google Scholar 

  7. InstitutionalAuthorNameSouthern Surgeon’s Club Study Group (1999) ArticleTitleHandscopic surgery: a prospective multicenter trial of a minimally invasive technique for complex abdominal surgery. Arch Surg 134 477–485

    Google Scholar 

  8. EM Targarona E Gracia J Garriga C Martinez-Bru M Cortes R Boluda L Lerma M Trias (2002) ArticleTitleProspective randomized trial comparing conventional laparoscopic colectomy with hand-assisted laparoscopic colectomy: applicability, immediate clinical outcome, inflammatory response, and cost. Surg Endosc 16 234–239 Occurrence Handle10.1007/s00464-001-8168-9 Occurrence Handle1:STN:280:DC%2BD383jtVWrtg%3D%3D Occurrence Handle11967670

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments.

This work was supported in part by a Fellowship grant from the United States Surgical, a division of Tyco Healthcare.

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Authors and Affiliations

  1. Section of Colon and Rectal Surgery, Department of Surgery, New York Presbyterian Hospital - Weill Medical College of Cornell University, 525 East 68th Street, New York, NY 10021, USA

    K. Nakajima, S. W. Lee, C. Cocilovo, C. Foglia, K. Kim, T. Sonoda & J. W. Milsom

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  1. K. Nakajima
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  2. S. W. Lee
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  3. C. Cocilovo
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  4. C. Foglia
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  5. K. Kim
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  6. T. Sonoda
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  7. J. W. Milsom
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Correspondence to J. W. Milsom.

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Nakajima, K., Lee, S., Cocilovo, C. et al. Hand-assisted laparoscopic colorectal surgery using GelPort . Surg Endosc 18, 102–105 (2004). https://doi.org/10.1007/s00464-002-8648-6

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  • DOI: https://doi.org/10.1007/s00464-002-8648-6

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