caa a22 4500 475780388 CHVBK 20180406123642.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/s004640020019 doi (NATIONALLICENCE)springer-10.1007/s004640020019 Hand-assisted laparoscopic surgery [Elektronische Daten] An overview [D. Meijer, J. Bannenberg, J. Jakimowicz] Background: Advanced laparoscopic surgery is complex and time-consuming. Achieving consistent efficacy and safety throughout the entire procedure is always a problem. For this reason, hand-assisted laparoscopic surgery (HALS) was developed. Methods: Devices were designed to allow manual access to the abdomen through the utility laparotomy. By using one hand in the abdomen during laparoscopy, the surgeon regains direct tactile sensation and acquires improved handeye coordination. The safety of the individual devices has been tested in RCT for the registration of the individual devices. An index known as Surgical Action Efficiency was calculated for in six patients undergoing laparoscopic colon resection and six patients with hand-assisted colon resections. Results: All of the registered devices are safe. Surgical Action Efficiency for the laparoscopy group was 55±14%; for the HALS group, it was 71±4%. his result is statistically significant (p<0.05). Conclusion: HALS is a safe and efficient method by which it is possible to combine the established convenience and safety of open surgery with the advantages of minimally invasive surgery. Springer-Verlag, 2000 Laparoscopy nationallicence Hand-assisted laparoscopic surgery nationallicence Abdominal surgery nationallicence Technique nationallicence Meijer D. Department of Experimental Surgery, Academic Medical Center, IWO Gebouw I-151, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands aut Bannenberg J. Department of Experimental Surgery, Academic Medical Center, IWO Gebouw I-151, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands aut Jakimowicz J. Department of Surgery, Catharina Hospital, Michaelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands aut Surgical Endoscopy Springer-Verlag 14/10(2000-10-01), 891-895 0930-2794 14:10<891 2000 14 464 https://doi.org/10.1007/s004640020019 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640020019 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Meijer D. Department of Experimental Surgery, Academic Medical Center, IWO Gebouw I-151, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Bannenberg J. Department of Experimental Surgery, Academic Medical Center, IWO Gebouw I-151, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Jakimowicz J. Department of Surgery, Catharina Hospital, Michaelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/10(2000-10-01), 891-895 0930-2794 14:10<891 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer