Hand-Assisted Laparoscopic Surgery의 적용
Hand-Assisted Laparoscopic Surgery (HALS) with the HandPort System
이남준, 김영우, 한호성, 민석기, 김유진, 최용만,
소속 상세정보
이남준 ( Yi Nam-Joon )
이화여자대학교 의과대학 외과학교실
김영우 ( Kim Young-Woo )
이화여자대학교 의과대학 외과학교실
한호성 ( Han Ho-Seong )
이화여자대학교 의과대학 외과학교실
민석기 ( Min Seog-Ki )
이화여자대학교 의과대학 외과학교실
김유진 ( Kim Eu-Gene )
이화여자대학교 의과대학 외과학교실
최용만 ( Choi Yong-Man )
이화여자대학교 의과대학 외과학교실
KMID : 0371320010610010062
Abstract
Purpose
The purpose of this study was to evaluate the feasibility and potential benefits of Hand-Assisted Laparoscopic Surgery (HALS) with the HandPort system. The surgeon inserts the nondominant hand into the abdomen while the pneumoperitoneum is
maintained.
The hand assists laparoscopic instruments and is helpful in complex laparoscopic surgery. This approach provides an excellent means to explore, to retract safely, and to apply immediate hemostasis when needed.
Methods
A prospective study was performed in patients who had undergone surgical intervention with the HandPort system at Ewha Womans University Mok-Dong Hospital. The surgeon was free to test the device in any situation where they expected a potential
advantage over conventional laparoscopy. The surgeon inserted the nondominant hand into the abdomen while the pneumoperitoneum was generally maintained at 13 mmHg.
Results
Thirteen patients were entered in the study. Operations included radical gastrectomy in 8 cases, subtotal gastrectomy in 1 case, hemicolecotmy in 2, distal pancreatectomy with splenectomy in 1, nephrectomy with splenectomy in 1. The mean incision
size
for the HandPort device was 7.5 cm for the nondominant hand. None of the patients required conversion to open surgery as a result of an unmanageable air leak. There were no postoperative problems and no cases of mortality.
Conclusion
HALS with the HandPort system is helpful in complex laparoscopic surgery and appeared to be useful in minimally invasive procedures considered too complex fora laparoscopic approach.
키워드
HALS (Hand-Assisted Laparoscopic Surgery); HandPort system; 복강경 수술; HALS (Hand-Assisted Laparoscopic Surgery); HandPort system; Laparoscopic surgery;
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