TY - JOUR AU - Ferrari, M. AB - Surg Endosc (2003) 17: 1862–1863 DOI: 10.1007/s00464-003-9009-9 Springer-Verlag New York Inc. 2003 Hand-assisted advanced laparoscopic procedures Placement of the hand assist device is essential We read with interest the article by De Maria et al. [2] vice inserted through a small midline incision like the on hand-assisted laparoscopic bypass. The authors one described by de Maria et al. [2]. In 48 cases,a concluded that hand-assisted laparoscopic bypass did ventral hernia developed at the site where the hand-as- not improve clinical outcome and was associated with sist device had been inserted. The proportion of these increased costs compared to open gastric bypass for the cases (18.7%) is still lower than the 30% incidence of surgical treatment of obesity. ventral hernias in aneurysm patients reported in the The highest incidence of ventral hernias can be literature,but the benefit of minimal invasive access is found in patients with aortic aneurysms. In a retro- certainly lost because a substantial number of patients spective study,we analyzed intermediate-term results of require reoperation due to abdominal wall problems. hand-assisted laparosocopic (HALS) aortic aneurysm For our HALS patients with a low transverse Pfann- surgery. Because of the well-known problems with al- enstiel incision or a miniaccess in TI - Hand-assisted advanced laparoscopic procedures—placement of the hand assist device is essential JO - Surgical Endoscopy DO - 10.1007/s00464-003-9009-9 DA - 2003-09-29 UR - https://www.deepdyve.com/lp/springer-journals/hand-assisted-advanced-laparoscopic-procedures-placement-of-the-hand-nT2IDhEZGo SP - 1862 EP - 1863 VL - 17 IS - 11 DP - DeepDyve ER -