We read with interest the report on handoscopic surgery by the Southern Surgeons' Club Study Group.1 In our department we started a laparoscopic vascular surgical program 5 years ago trying to reduce the operative trauma in patients with aortoiliac disease.2 Disappointed with long operating times, we changed our protocol and began using hand-assisted laparoscopic surgery for aortoiliac reconstructions.
Kolvenbach R. Hand-Assisted Laparoscopic Aortoiliac Surgery. Arch Surg. 2000;135(7):875–876. doi:
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