Hand‐assisted laparoscopic nephroureterectomy

Keeley,; Sharma, Vishal; Tolley,

doi:10.1046/j.1464-410x.1999.00041.x

Cited by 41 publications

(19 citation statements)

References 3 publications

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“…In the same year, Nakada et al [6•] performed the first successful handassisted laparoscopic nephrectomy in humans. The applications of hand-assisted laparoscopy quickly expanded from radical and simple nephrectomies to include nephroureterectomy in 1997 [7], donor nephrectomy in 1998…”

Section: History Of Hand-assisted Laparoscopymentioning

confidence: 99%

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The advantages of hand-assisted laparoscopy

Munver¹,

Pizzo²,

Sosa

2004

Curr Urol Rep

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The technical challenges of performing laparoscopic renal surgery require fellowship training and are associated with a steep learning curve. For the established urologist in practice, fellowship training is not a reality. As a result of these obstacles, in the late 1990s, laparoscopic renal surgery was entering the domain of the general surgeons who had a large number of laparoscopic procedures at their disposal to develop laparoscopic skills. Hand-assisted laparoscopic renal surgery is a hybrid procedure combining the most salient features of open renal surgery and laparoscopic renal surgery. By allowing the surgeons to place their non-dominant hand into the abdominal cavity, palpation and spatial orientation became possible, lessening the learning curve for laparoscopic surgery. Moreover, hand-assisted laparoscopic surgery could be applied to a variety of renal surgeries, extirpative and reconstructive, with results similar to those already achieved by standard laparoscopy. Throughout the past 5 years, hand-assisted laparoscopy has allowed urologists to incorporate laparoscopic renal surgery into their practices to the benefit of their patients and of their specialty. This review article offers a historical review of the development of hand-assisted laparoscopy and describes the procedures commonly performed today using this technique.

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Section: History Of Hand-assisted Laparoscopymentioning

confidence: 99%

“…In 1997, Keeley et al [7] reported the initial case of handassisted laparoscopic nephroureterectomy for transitional cell carcinoma. The procedure was completed in 110 minutes, more than 6 hours faster than the first conventional laparoscopic nephroureterectomy 5 years earlier [11].…”

Section: Nephroureterectomymentioning

confidence: 99%

The advantages of hand-assisted laparoscopy

Munver¹,

Pizzo²,

Sosa

2004

Curr Urol Rep

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“…Despite proponents for each approach, in the absence of a solid clinical benefit of one approach over the other, the choice is based on the surgeon's experience. Hand-assisted laparoscopy may be an alternative technique [24].…”

Section: Commentsmentioning

confidence: 99%

Abdominal Ganglioneuromas in Adults

et al. 2003

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Ganglioneuromas are rare tumours of the parasympathetic nervous system. Their definitive diagnosis is made on histological examination. When they arise from the adrenal medulla, their assessment and management are the same as those of other adrenal tumours. We here report 3 cases of ganglioneuromas highlighting important points regarding the radiological assessment, management, decision making and surgical approaches.

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“…During hand-assisted laparoscopy, intact specimen retrieval is performed using the gloved hand through the site of PneumoSleeve ® placement. 18,19 If the open bladder technique is used to manage the distal ureter, the specimen can be readily extracted through the distal incision. 16 …”

Section: Retroperitoneal Laparoscopic Radical Nephroureterectomymentioning

confidence: 99%

Retroperitoneal Laparoscopic Nephroureterectomy and Management Options for the Distal Ureter

Kaouk

Savage²,

Gill³

2001

Journal of Endourology

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Radical nephroureterectomy, including en bloc excision of the ureter with a bladder cuff, is the standard treatment for upper tract transitional-cell carcinoma (TCC). This procedure requires either a flank and lower abdominal incision or an extended flank incision. Laparoscopic surgery for TCC has been used at several medical centers; the most challenging and controversial aspect is the oncologically correct management of the distal ureter. We believe that the Cleveland Clinic technique of securing the distal bladder cuff intravesically while simultaneously occluding the distal ureter prevents tumor spillage and allows accurate and complete resection of the targeted ureter in a manner mirroring the open procedure.

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Hand‐assisted laparoscopic nephroureterectomy

Cited by 41 publications

References 3 publications

The advantages of hand-assisted laparoscopy

The advantages of hand-assisted laparoscopy

Abdominal Ganglioneuromas in Adults

Retroperitoneal Laparoscopic Nephroureterectomy and Management Options for the Distal Ureter

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