Concomitant laparoscopic hand-assisted radical nephrectomy and open radical prostatectomy using a single lower midline incision.
The hand-assist technique offers the urologic surgeon several advantages. The technique provides the novice laparoscopist a logical segue into minimally invasive surgery by literally allowing one hand to remain in the realm of open surgery. Hand-assist access affords the laparoscopist the use of tactile sensation and blunt manual dissection and retraction. We describe an additional benefit of the hand-assist technique. In clinical situations in which more than one procedure is required, a properly positioned hand-assist device will avoid the need for two large incisions. We present simultaneous hand-assisted laparoscopic radical nephrectomy and open radical prostatectomy performed through a single midline incision.
Oda
J
J
Division of Urology, Washington University School of Medicine, St. Louis, Missouri, USA.
Landman
J
J
Bhayani
S
S
Figenshau
R S
RS
D000009:Abdominal Muscles / Q000601:surgery*; D000230:Adenocarcinoma / Q000601:surgery; D000768:Anesthesia, General; D002292:Carcinoma, Renal Cell / Q000601:surgery; D015897:Comorbidity; D006801:Humans; D007680:Kidney Neoplasms / Q000453:epidemiology / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000453:epidemiology / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods*