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.
Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
D E
DE
McGinnis
L G
LG
Gomella
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SE
Strup
D004867:Equipment Design; D006225:Hand; D010535:Laparoscopy / Q000379:methods*; D013520:Urologic Surgical Procedures / Q000295:instrumentation*