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Laparoscopic Hand-Assisted Low Anterior Resection

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Minimally Invasive Approaches to Colon and Rectal Disease

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Abstract

Laparoscopy for colon surgery is safe and effective. Laparoscopic rectal surgery remains technically challenging, and long-term oncologic outcomes to date are still under investigation. Hand-assisted laparoscopic surgery preserves several advantages of laparoscopy while decreasing operative time and expanding the reach of laparoscopy. This chapter focuses on the technical aspects of hand-assisted laparoscopic low anterior resection.

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References

  1. Bonjer HJ, Hop WC, Nelson H, Sargent DJ, Lacy AM, Castells A, Guillou PJ, Thorpe H, Brown J, Delgado S, Kuhrij E, Haglind E, Påhlman L, Transatlantic Laparoscopically Assisted vs Open Colectomy Trials Study Group. Laparoscopically assisted vs open colectomy for colon cancer: a meta-analysis. Arch Surg. 2007;142(3):298–303.

    Article  PubMed  Google Scholar 

  2. Nakajima K, Lee SW, Cocilovo C, Foglia C, Kim K, Sonoda T, Milsom JW. Hand-assisted laparoscopic colorectal surgery using GelPort. Surg Endosc. 2004;18(1):102–5.

    Article  CAS  PubMed  Google Scholar 

  3. Sonoda T, Pandey S, Trencheva K, Lee S, Milsom J. Longterm complications of hand-assisted versus laparoscopic colectomy. J Am Coll Surg. 2009;208(1):62–6.

    Article  PubMed  Google Scholar 

  4. Nakajima K, Milsom JW, Margolin DA, Szilagy EJ. Use of the surgical towel in colorectal hand-assisted laparoscopic surgery (HALS). Surg Endosc. 2004;18(3):552–3.

    Article  CAS  PubMed  Google Scholar 

  5. Meshikhes AW. Controversy of hand-assisted laparoscopic colorectal surgery. World J Gastroenterol. 2010;16(45):5662–8.

    Article  PubMed Central  PubMed  Google Scholar 

  6. HALS Study Group. Hand-assisted laparoscopic surgery vs standard laparoscopic surgery for colorectal disease: a prospective randomized trial. Surg Endosc. 2000;14(10):896–901.

    Article  Google Scholar 

  7. Marcello PW, Fleshman JW, Milsom JW, Read TE, Arnell TD, Birnbaum EH, Feingold DL, Lee SW, Mutch MG, Sonoda T, Yan Y, Whelan RL. Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial. Dis Colon Rectum. 2008;51(6):818–26.

    Article  PubMed  Google Scholar 

  8. Tjandra JJ, Chan MK, Yeh CH. Laparoscopic- vs hand-assisted ultralow anterior resection: a prospective study. Dis Colon Rectum. 2008;51(1):26–31.

    Article  PubMed  Google Scholar 

  9. Chang YJ, Marcello PW, Rusin LC, Roberts PL, Schoetz DJ. Hand-assisted laparoscopic sigmoid colectomy: helping hand or hindrance? Surg Endosc. 2005;19(5):656–61.

    Article  PubMed  Google Scholar 

  10. Champagne BJ, Lee EC, Valerian B, Armstrong D, Ambroze W, Orangio G. A novel end point to assess a resident's ability to perform hand-assisted versus straight laparoscopy for left colectomy: is there really a difference? J Am Coll Surg. 2008;207(4):554–9.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Colon and Rectal Surgery, Department of Surgery, Weill Cornell Medical College, 525 East 68th Street, 172, New York, NY, 10065, USA

    Govind Nandakumar M.D. & Sang W. Lee M.D.

Authors
  1. Govind Nandakumar M.D.
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  2. Sang W. Lee M.D.
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Corresponding author

Correspondence to Govind Nandakumar M.D. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Temple University Health System, Philadelphia, Pennsylvania, USA

    Howard M. Ross MD FACS FASCRS

  2. Division of Colon and Rectal Surgery, Department of Surgery, Weill-Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA

    Sang W. Lee MD, FACS, FASCRS

  3. Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    Matthew G. Mutch MD, FACS, FASCRS

  4. North Shore-LIJ Health System, Huntington Hospital, Hofstra University School of Medicine, Huntington, New York, USA

    David E. Rivadeneira MD, MBA,FACS, FASCRS

  5. Department of Colon & Rectal Surgery, Madigan Army Medical Center, Olympia, Washington, USA

    Scott R. Steele M.D., FACS, FASCRS

Electronic Supplementary Materials

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Hand-assisted laparoscopic rectal mobilization (MP4 70782 kb)

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© 2015 Springer Science+Business Media New York

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Nandakumar, G., Lee, S.W. (2015). Laparoscopic Hand-Assisted Low Anterior Resection. In: Ross MD FACS FASCRS, H., Lee MD, FACS, FASCRS, S., Mutch MD, FACS, FASCRS, M., Rivadeneira MD, MBA,FACS, FASCRS, D., Steele M.D., FACS, FASCRS, S. (eds) Minimally Invasive Approaches to Colon and Rectal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1581-1_11

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  • DOI: https://doi.org/10.1007/978-1-4939-1581-1_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1580-4

  • Online ISBN: 978-1-4939-1581-1

  • eBook Packages: MedicineMedicine (R0)

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