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- W2552771331 abstract "This chapter, by expert laparoscopic liver surgeons, allows the reader to learn the important indications for hybrid and hand-assisted approaches to advanced laparoscopic liver resection. We believe that there are important yet selected indications with clear advantages of a hybrid technique. These include the beginning of a surgical experience where placement of a surgical laparotomy pad inside the abdomen early in the case allows for manual compression with the pad in case of bleeding and subsequent safe conversion to open surgery. Hand-assisted approaches can be important when preoperative imaging and intraoperative ultrasound are not sufficient to ensure complete tumor removal and palpation of the liver is required. When a hand-assisted approach is performed, placement of the assistant's hand rather than the operating surgeon's hand in the abdomen can improve ergonomics and facilitate graduation to a purely laparoscopic approach. Another important indication for hand-assisted or hybrid approaches are patients with significant abdominal adhesions. The placement of a hand-assist access port allows for the creation of a working space through this access port from which the remainder of the case can be performed purely laparoscopically." @default.
- W2552771331 created "2016-11-30" @default.
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- W2552771331 date "2016-10-31" @default.
- W2552771331 modified "2023-10-17" @default.
- W2552771331 title "Laparoscopy (hybrid) and hand‐assisted laparoscopy in liver surgery: why, when, and how?" @default.
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- W2552771331 doi "https://doi.org/10.1002/9781118781166.ch17" @default.
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