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Manuel Trías Folch; Eduardo M^a Targarona
Service of Surgery
Hospital of Sant Pau
Sant Antoni M. Claret 167
08025 Barcelona
Spain

Arch Surg. 1999;134:486.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The Southern Surgical Club has recruited many patients to assess the clinical utility of hand-assisted laparoscopic surgery. This device permits the surgeon to recover the tactile feeling, maintaining the advantages of laparoscopy. The cases chosen include a variety of procedures performed and levels of complexity, which complicate analysis, as reflected by the high conversion rate (22%). Some indications are difficult to accept (eg, hiatal hernia) when results with the standard laparoscopic approach are satisfactory. The best message comes from the analysis of 2 accepted indications: colectomy and splenectomy. The results after colectomy are promising, especially when they include more difficult situations (eg, diverticulitis and intestinal fistula). The authors do not state the characteristics of spleens approached with the hand port, but 4 of 7 were benign, and they could be morcellated. The accessory incision in splenic surgery should be considered only for cases of . . . [Full Text of this Article]

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