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July 22/29, 1998

Hand-Assisted Laparoscopy

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JAMA. 1998;280(4):315. doi:10.1001/jama.280.4.315-JQU80004-4-1

A new variation on laparoscopy may help more physicians perform fewer invasive nephrectomies while patients benefit from fewer major complications.

Surgeons at the University of Michigan Medical School in Ann Arbor have compared "hand-assisted" laparoscopic nephrectomy with the standard laparoscopic technique, as reported in this month's issue of the Journal of Urology. The newer procedure differs from standard laparoscopy by using an incision large enough to admit a surgeon's hand into the abdomen through a modified surgical glove that is applied to the patient's skin and maintains the airtight cavity needed for pneumoperitoneum.

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