caa a22 4500 475781880 CHVBK 20180406123646.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004640000325 doi (NATIONALLICENCE)springer-10.1007/s004640000325 Darzi A. Academic Department of Surgical Oncology and Technology, Imperial College of Science Technology and Medicine, London, W21PG, UK, GB aut Hand-assisted laparoscopic colorectal surgery [Elektronische Daten] [A. Darzi] Abstract.: Hand-assisted laparoscopic surgery is a newly developed technique. It involves the intraabdominal placement of a hand or forearm through a mini-laparotomy incision while pneumoperitoneum is maintained. In this way, the hand can be used as in an open procedure to palpate organs or tumors, reflect organs atraumatically, retract structures, identify vessels, dissect bluntly along a tissue plain, and provide finger pressure to bleeding points while proximal control is achieved. Additionally, this approach is more economical than a totally laparoscopic approach, reducing both the number of laparoscopic ports and number of instruments required. Some advocates of the technique claim that it is also easier to learn and perform than totally laparoscopic approaches and that it may increase patient safety. Springer-Verlag New York Inc., 2000 https://doi.org/10.1007/s004640000325 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000325 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Darzi A. Academic Department of Surgical Oncology and Technology, Imperial College of Science Technology and Medicine, London, W21PG, UK, GB aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer