A Useful Method of Hand-Assisted Laparoscopic Surgery for Perforated Duodenal Ulcer: A Case Report

  • Isagawa Yuriko
    Department of Digestive Surgery, School of Medicine, Nihon University
  • Igarashi Masahito
    Department of Digestive Surgery, School of Medicine, Nihon University
  • Miyakuni Taiki
    Department of Digestive Surgery, School of Medicine, Nihon University
  • Matsuno Yoritaka
    Department of Digestive Surgery, School of Medicine, Nihon University
  • Hagiwara Ken
    Department of Digestive Surgery, School of Medicine, Nihon University
  • So Keio
    Department of Digestive Surgery, School of Medicine, Nihon University
  • Hayashi Shigeoki
    Department of Digestive Surgery, School of Medicine, Nihon University
  • Takayama Tadatoshi
    Department of Digestive Surgery, School of Medicine, Nihon University

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Other Title
  • 十二指腸潰瘍穿孔症例に対してHALS が有用であった1 例
  • 症例報告 十二指腸潰瘍穿孔症例に対してHALSが有用であった1例
  • ショウレイ ホウコク ジュウニシチョウ カイヨウ センコウ ショウレイ ニ タイシテ HALS ガ ユウヨウ デ アッタ 1レイ

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Hand-assisted laparoscopic surgery (HALS) has been applied to various diseases since the report of Hand-Assisted Laparoscopic Splenectomy by Kusminsky et al. in 1995. Herein, we report a case of perforation of a duodenal ulcer that required Omental Implantation Repair using HALS, with no complication. The patient was a 43-year-old man. In January 2016, he complained of an epigastrium ache. He called an ambulance and came to our hospital. The diagnosis was perforation of the upper gastrointestinal tract. We performed an emergency operation. We used a Gel Port® and inserted 12mm trocar under the umbilicus and 5mm at the left abdomen, 5mm and 12mm at the right abdomen. After washing the intra-abdominal cavity, we performed Omental Implantation Repair using a small incision. He was discharged from the Hospital after 14 days with no complications. HALS not only provides a sense of touch in open surgery but also provides an extended effect in Laparoscopic surgery. Therefore, HALS is useful in the operation for upper gastrointestinal tract perforation.

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