Hand-assisted gastroesophageal surgery.
Hand-assisted laparoscopic surgery (HALS) has been shown to be an effective tool when performing advanced laparoscopic procedures. The hand-assist device restores tactile feedback, facilitates retraction and dissection, and can be a successful alternative to open conversion. HALS is a valuable resource when performing complex gastroesophageal operations, including gastrectomy, esophagectomy, and bariatric surgery. The aim of this review is to familiarize the laparoscopic surgeon with the use of HALS when performing these technically demanding procedures.
Glasgow
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RE
Department of Minimally Invasive Surgery, Legacy Health System, Portland, OR, USA.
Swanstrom
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LL
D004210:Dissection / Q000379:methods; D016629:Esophagectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D004945:Esophagoscopy / Q000009:adverse effects / Q000379:methods*; D005743:Gastrectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D015390:Gastric Bypass / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005773:Gastroscopy / Q000009:adverse effects / Q000379:methods*; D006225:Hand; D006801:Humans; D018579:Patient Selection; D011182:Postoperative Care / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D016896:Treatment Outcome