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Hand-Assisted Laparoscopic Bariatric Surgery

magnus.sundbom{at}kirurgi.uu.se, Department of Surgery, Uniaersity Hospital, Uppsala, Sweden

Sven Gustavsson, MD, PhD

Department of Surgery, Uniaersity Hospital, Uppsala, Sweden

Bariatric surgery implies a major life-long rearrangement of the gastrointestinal tract to obtain a controlled weight reduction in a severe but nonmalignant disease. Obesity poses a special challenge to the laparoscopic surgeon. Laparoscopy is known to facilitate the perioperative phase for the patient, but is technically difficult to perform in morbidly obese subjects. Hand-assistance adds extra control in demanding procedures, and Handport systems for use in the thick abdominal wall are now available. Here we review the role of hand-assisted laparoscopy for common bariatric procedures and describe our technique for Hand-assisted laparoscopic Roux-en-Y Gastric bypass. Hand-assistance might be the well-blended mix for complex laparoscopic procedures in bariatric work, especially for surgeons working outside highly specialized laparoscopic centers. Copyright © 2001 by W.B. Saunders Company.

Surgical Innovation, Vol. 8, No. 2, 145-152 (2001)
DOI: 10.1177/155335060100800208


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