Experience with 969 minimal access colectomies: the role of hand-assisted laparoscopy in expanding minimally invasive surgery for complex colectomies.

@article{Cima2008ExperienceW9,
  title={Experience with 969 minimal access colectomies: the role of hand-assisted laparoscopy in expanding minimally invasive surgery for complex colectomies.},
  author={Robert R. Cima and Jirawat Pattana-arun and David W. Larson and Eric J. Dozois and Bruce G. Wolff and John H. Pemberton},
  journal={Journal of the American College of Surgeons},
  year={2008},
  volume={206 5},
  pages={946-50; discussion 950-2}
}
BACKGROUND Laparoscopic-assisted colectomy (LAC) is not performed widely despite numerous patient benefits. LAC is difficult to perform and the learning curve is steep. Hand-assisted laparoscopy (HALS) permits placement of a hand into the abdomen to assist the dissection. Our aim was to analyze the impact of HALS on a minimal access colectomy (MAC) practice. STUDY DESIGN A prospectively maintained database was retrospectively reviewed for all LAC and HALS colectomies. HALS was introduced in… CONTINUE READING

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