Royal Prince Alfred Hospital
Royal Prince Alfred Hospital
Department of Colorectal Surgery

Colorectal Surgery

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Hand-assisted laparoscopic surgery

Hand-assisted laparoscopic surgery is a surgical technique where a section of the bowel is removed using a laparoscopic ("key hole surgery") surgical technique with assistance from a small separate "open" incision through which a gloved hand can be inserted to guide the surgery. It allows for the minimally invasive benefits of key hole surgery at the same time as allowing the surgeon better access to the diseased bowel, extending the range of what can be removed laparoscopically.

Hand-assisted techniques are commonly used in anterior resections (area of the rectum and/or left side of the bowel) when the benefits of key hole surgery and yet the access of open surgery are both desired due to the disease process, patient size or surgeon preference.

The risks associated with hand-assisted laparoscopic surgery can relate to wounds (wound infection, hernia), the bowel join (leakage, bleeding), and to the patient's heart (arrhythmia), lungs (infection), kidneys and urinary system and the venous system (deep vein thrombosis, pulmonary emboli).

Pain relief is organised after the procedure by the hospitals anaesthetic department. Fluids and return to a normal diet are determined by your doctors' usual protocol and your individual circumstances.

It is best to discuss more details regarding your specific case with your doctor.