Journal Review in Colorectal Surgery: Hand Assist Laparoscopy in Colon and Rectal Surgery

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 19 June 2025

⏱️ 36 minutes

🔗️ Recording | iTunes | RSS

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Summary

You have a patient with complicated diverticulitis s/p IR drain with colo-cutaneous fistula and colo-vaginal fistula. They are scheduled for surgery. How will you do it? What is the role for hand assist? How can hand assist help? Tune in to find out!

Join Drs. Peter Marcello, Jonathan Abelson, and Tess Aulet as they discuss high yield papers discussing hand assist laparoscopy in Colon and Rectal surgery.

Learning Objectives
1. Describe the technical considerations and how to do hand assist laparoscopic surgery (HALS)
2. Discuss the indications for use of HALS
3. Review literature supporting use of HALS

Video Link: https://app.behindtheknife.org/video/journal-review-in-colorectal-surgery-hand-assist-laparoscopy-in-colon-and-rectal-surgery

References:
Marcello PW, Fleshman JW, Milsom JW, Read TE, Arnell TD, Birnbaum EH, Feingold DL, Lee SW, Mutch MG, Sonoda T, Yan Y, Whelan RL. Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial. Dis Colon Rectum. 2008 Jun;51(6):818-26; discussion 826-8. doi: 10.1007/s10350-008-9269-5. Epub 2008 Apr 17. PMID: 18418653. https://pubmed.ncbi.nlm.nih.gov/18418653/

Jacobs C, Read TE. "Peek port": avoiding conversion during laparoscopic colectomy-an update. Surg Endosc. 2020 Sep;34(9):3944-3948. doi: 10.1007/s00464-019-07165-3. Epub 2019 Oct 4. PMID: 31586252. https://pubmed.ncbi.nlm.nih.gov/31586252/

Heneghan HM, Martin ST, Kiran RP, Khoury W, Stocchi L, Remzi FH, Vogel JD. Laparoscopic colorectal surgery for obese patients: decreased conversions with the hand-assisted technique. J Gastrointest Surg. 2013 Mar;17(3):548-54. doi: 10.1007/s11605-012-2089-x. Epub 2012 Nov 27. PMID: 23188222. https://pubmed.ncbi.nlm.nih.gov/23188222/

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Transcript

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0:00.0	Behind the Night, the Surgery Podcast, relevant and engaging content designed to help you
0:11.6	dominate the day.
0:23.6	Hi, all you, BTCK listeners. It's Scott here.
0:24.6	Want to talk a little bit about our colorectal surgery oral board audio review.
0:29.6	With upwards of 50 plus high-ield scenarios designed for colorectal surgeons by colorectal
0:35.8	surgeons, the scenarios are five to seven minutes long, a variety of tactics styles.
0:41.3	We also have a high-yield commentary to each scenario.
0:44.3	It includes tips and tricks that help you dominate the most challenging scenarios.
0:49.3	In addition to practical, easy to think through, easy to understand,
0:53.3	teaching style that covers
0:54.6	the most confusing, the most interesting, and the most basic of topics that we all face as
0:59.7	colorectal surgeons. So we are confident that you will find this unique, dual format approach,
1:05.0	highly effective way to prepare for your test. Check it out, behind the knife.org.
1:09.5	Hello, Behind theknife.org.
1:17.4	Hello, behind the knife listeners. We are back with you. This is our last episode.
1:24.3	Oie. Tonight, we're going to be discussing our last journal club and colon and rectal surgery on hand assist laparoscopic surgery with the Leahy colorectal surgery team.
1:29.0	We opted to not do a special guest for our final episode.
1:33.8	It's just going to be the core three of us breaking down these articles for you guys,
1:37.6	highlighting the use of howls, providing some tips and tricks, and when it can come in hand.
1:45.2	Very good, John. That was Dr. Alette.
1:47.9	Good job, Dr. Alette.
1:49.0	Very nice.
	...

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