Handport (hand assisted-laparoscopic surgery)Chowbey, P.K. (2002) Handport (hand assisted-laparoscopic surgery). In: Congress of Endoscopic and Laparoscopic Surgeons of Asia, 2002 [ELSA 2002], 19-21 Sep 2002, Tokyo, Japan. Full text available as:
AbstractRapid advances in technology and technical experience have expanded the scope of surgical procedures being attempted laparoscopically. Some such surgeries are markedly advanced resulting in tremendous technical strain on the operating surgeon. In an attempt to strike a balance between benefits of laparoscopy and technical ease of open surgery, the handport system has been developed. The hand port or hand assisted laparoscopic surgery (HALS) involves insertion of one of the surgeons hands into the patients abdominal cavity through an appropriately placed incision fitted with an air tight seal thus preserving pneumoperitoneum. This innovation has helped in preserving tactile perception, three dimensional orientation and the advantage of greater tissue manipulation. The incision provides a large portal for organ delivery, it provides rapid open access in case required and its small size is associated with a short period of convalescence. Although costly the handport is a valuable asset for advanced laparoscopic procedures. Having tried the handport in bowel and solid organ surgery, we conclude that the system holds a significant potential for the laparoscopic surgeon.
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