Comparison and clinical evaluation of hand-assist devices for hand-assisted laparoscopy.
Hand-assisted laparoscopic surgery (HALS) is being used increasingly in urologic laparoscopy, particularly for laparoscopic nephrectomy. Hand-assist devices (HADs) facilitate the intra-abdominal placement of the hand during laparoscopy. There are currently three HADs available in the United States: the Pneumo Sleeve, the Handport, and the Intromit. The performance of each HAD is assessed regarding usage options, maintenance of pneumoperitoneum, device failure, exchange of intra-abdominal hands, adaptation to obese patients, and specimen removal. The use of these devices is reviewed based on our experience in more than 100 cases of HALS.
McGinnis
D E
DE
Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Gomella
L G
LG
Strup
S E
SE
D004867:Equipment Design; D006225:Hand; D010535:Laparoscopy / Q000379:methods*; D013520:Urologic Surgical Procedures / Q000295:instrumentation*