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The use of laparoscopic techniques in the treatment of colorectal diseases was first described in the early 1990s. Even though its clinical benefits have been well documented, laparoscopic colorectal surgery has been slow to gain adoption in the surgical community, given its technical demands. To help overcome these challenges while preserving the clinical benefits derived from a minimally invasive approach, hand-assisted laparoscopic surgery (HALS) was proposed. HALS can decrease the learning curve by restoring tactile sensation and improving proprioception, and it may be more accessible for surgeons already in practice. A meta-analysis of the 3 published RCTs comparing hand-assisted laparoscopic to conventional laparoscopic colorectal resection showed a significantly lower rate of conversion in the hand-assist patients, while morbidity rates were equivalent. The meta-analysis further indicated that short-term postoperative benefits of conventional laparoscopic colectomies were preserved and costs were likely to be offset by reduced operative time and specific need of laparoscopic equipment. HALS represents a valuable option for performing colorectal resections.
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http://dx.doi.org/10.1007/s10151-012-0933-3 | DOI Listing |
Langenbecks Arch Surg
March 2025
Department of Surgical Sciences, Uppsala University Hospital, 751 85, Uppsala, Sweden.
Purpose: Small intestinal neuroendocrine tumours (SI-NETs) are the most common malignancy of the small bowel. Curative treatment is surgical, with exploratory laparotomy considered the standard approach. This study aimed to assess the outcomes of minimally invasive surgery compared to open approach for SI-NETs at the Endocrine surgical unit at Uppsala University Hospital.
View Article and Find Full Text PDFWorld J Surg
March 2025
Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
Background: Laparoscopic liver surgery following previous resections poses significant challenges due to adhesions and altered anatomy. Hand-assisted laparoscopic liver resection (HALR) combines the tactile advantages of open surgery with minimally invasive techniques, potentially benefitting patients undergoing repeat hepatectomy. This study aims to assess the safety and efficacy of HALR for repeat hepatectomy and compare these outcomes with those of an open liver resection (OR).
View Article and Find Full Text PDFBMC Cancer
February 2025
Department of Urology, Bishan Hospital of Chongqing Medical University, Chongqing, 402760, China.
Background: Upper urinary tract urothelial carcinoma (UTUC) is an aggressive malignant tumor, with surgical intervention as the primary treatment. This study evaluates the prognostic effects of laparoscopic radical nephroureterectomy (LNU), open radical nephroureterectomy (ONU), robot-assisted laparoscopic radical nephroureterectomy (Robotic LNU), and hand-assisted laparoscopic radical nephroureterectomy (Hand LNU) in the treatment of UTUC through a network meta-analysis.
Methods: A systematic search of the PubMed, EMBASE, Cochrane, and Web of Science databases was conducted for randomized controlled trials meeting the criteria from database inception until April 2024.
Gan To Kagaku Ryoho
December 2024
Dept. of Surgery, Kochi Medical School.
Case 1: The patient was an 80-year-old woman with a history of chemoradiotherapy for cervical cancer 4 years ago. Splenic tumor was detected on contrast CT. On PET-CT showed accumulation of FDG in the splenic tumor.
View Article and Find Full Text PDFEsophagus
February 2025
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2, Yamada-Oka, Suita City, Osaka, 565-0871, Japan.
Background: Minimally invasive esophagectomy for esophageal cancer has become increasingly common to reduce postoperative pneumonia. However, the usefulness of pure laparoscopic abdominal manipulation without an upper abdominal incision remains unclear.
Methods: We evaluated the utility of pure laparoscopic surgery (LAP) vs.
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