Laparoscopically assisted gastric surgery using Dexterity Pneumo Sleeve

Abstract

The utilization of this device resulted in a more easily performed dissection, resection, and anastomosis and was felt to decrease operation time.

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

“…The HALS gastric bypass procedure that we developed has been described in detail elsewhere [1]. The operation is comprised of two phases.…”

“…The procedure is technically demanding and complex, requiring advanced laparoscopic skills and the assistance of a capable ®rst assistant with similar skills. Hand-assisted laparoscopic (HALS) gastric procedures have been adopted by some surgeons to treat obesity because it is easier to perform than the total laparoscopic procedure [1,4,5,8]. However, to date, no study has reported on the outcomes of hand-assisted laparoscopic gastric bypass as compared to those obtained with the traditional open gastric bypass procedure.…”

“…However, to date, no study has reported on the outcomes of hand-assisted laparoscopic gastric bypass as compared to those obtained with the traditional open gastric bypass procedure. We began our program in laparoscopic gastric bypass in early 1998, utilizing a HALS technique we devised [1]. We hypothesized that patients undergoing hand-assisted laparoscopic gastric bypass would lose a similar amount of weight as open gastric bypass patients while experiencing no increase in complications, a shorter hospital stay, and a lower overall cost for care, primarily due to fewer incisional hernias and other wound complications.…”

Minimally invasive (laparoscopic) surgery

“…Ibrahim et al [89] presented two cases of gastric leiomyoma that were successfully removed laparoscopically. Naitoh and Gagner [90] reported two cases of extensive laparoscopic gastric resection carried out with the assistance of a sleeve device that allows the surgeon to put his or her hand into the peritoneal cavity. Choi and Oh [91] reported their experience with 32 patients with gastric submucosal tumors, all of which were removed by the laparoscopic technique.…”

Laparoskopische Operationsverfahren und Ergebnisse beim Magenkarzinom

“…Auch über handassistierte laparoskopische Magenresektionen wird häufig berichtet [8,9]. So beschrieben Naitoh und Gagner [10] eine Billroth-IIResektion, eine Keilresektion und einen gastralen Bypass, die erfolgreich laparoskopisch handassistiert operiert wurden. Romanelli et al [9] werteten handassistierte laparoskopische Eingriffe in den USA aus und berichten über erfolgreich ausgeführte Gastrektomien.…”