Hand-Assisted Laparoscopic Roux-En-Y Gastric Bypass: Aspects of Surgical Technique and Early Results

Sundbom, Magnus; Gustavsson, Sven

doi:10.1381/096089200321594282

Cited by 28 publications

(14 citation statements)

References 16 publications

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“…Open Roux-en-Y gastric bypass surgery was done per a previously published surgical technique [6]. A midline abdominal incision was made from the xiphoid to the supraumbilical area, followed by insertion of a large retraction system 3 3 .…”

Section: Surgical Techniquementioning

confidence: 99%

Hand-assisted laparoscopic gastric bypass does not improve outcome and increases costs when compared to open gastric bypass for the surgical treatment of obesity

et al. 2002

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The Hand-Lap GB yielded good weight reduction in a population of morbidly obese patients, but at a higher cost for hospital care than Open GB. There was no decrease in the incidence of incisional hernias with the Hand-Lap GB procedure. Although Hand-Lap GB appears to be safe and effective, its failure to provide a decrease in hospital stay or risk of incisional hernia requiring subsequent surgical repair is significant. The primary role for the Hand-Lap GB procedure should therefore be to aid surgeons in developing skills to climb the steep learning curve for total laparoscopic gastric bypass, since Hand-Lap GB does not improve patient outcome and increases cost in comparison to the open GB procedure.

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Section: Surgical Techniquementioning

confidence: 99%

Hand-assisted laparoscopic gastric bypass does not improve outcome and increases costs when compared to open gastric bypass for the surgical treatment of obesity

et al. 2002

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“…Different techniques have been used, from suturing the anastomosis by hand to different stapling devices, all with their specific benefits and disadvantages [8][9][10][11]. In 1991, Wittgrove et al [12] described the use of a 21-mm circular stapler to construct the GJ in laparoscopic RYGB, and a couple of years later Lönroth developed the use of a linear stapler & E. Sima eduardo.sima@surgsci.uu.se with hand-sutured closing of the stapler defect [13].…”

mentioning

confidence: 99%

Gastrointestinal symptoms, weight loss and patient satisfaction 5 years after gastric bypass: a study of three techniques for the gastrojejunal anastomosis

2015

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“…Operative time was 205 min and hospital stay was 5 days. HandPort lap Roux-en-Y gastric bypass makes surgery faster and safer without losing essential benefits of total laparoscopy [20].…”

Section: Discussionmentioning

confidence: 99%

HandPort Laparoscopic Surgery—Review and Current Status

Goel

2013

Indian J Surg

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HandPort laparoscopic surgery is a hybrid operation that allows the surgeon to introduce his nondominant hand into abdominal cavity through the port while maintaining pneumoperitoneum. It also helps to gain experience and expertise to learn advanced laparoscopic procedures. The common surgeries where HandPort is useful are laparoscopic splenectomy, colectomies, and donor nephrectomies. HandPort facilitates dissection and extraction of specimens. Hand in abdomen restores tactile sensation which is lacking in laparoscopic procedures. It reduces operative time, increases technical expertise of surgeon, and decreases blood loss. This article reviews the current status of HandPort laparoscopic surgery, the various HandPort devices, and their use.

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Hand-Assisted Laparoscopic Roux-En-Y Gastric Bypass: Aspects of Surgical Technique and Early Results

Abstract: We believe that Hand-assistance makes Lap-RYGBP faster and safer without losing the essential benefits of total laparoscopy.

Cited by 28 publications

References 16 publications

Hand-assisted laparoscopic gastric bypass does not improve outcome and increases costs when compared to open gastric bypass for the surgical treatment of obesity

Hand-assisted laparoscopic gastric bypass does not improve outcome and increases costs when compared to open gastric bypass for the surgical treatment of obesity

Gastrointestinal symptoms, weight loss and patient satisfaction 5 years after gastric bypass: a study of three techniques for the gastrojejunal anastomosis

HandPort Laparoscopic Surgery—Review and Current Status

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