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| 1 | Controversy of hand-assisted laparoscopic colorectal surgery显示文摘Laparoscopically assisted colorectal procedures are time-consuming and technically demanding and hence have a long steep learning curve. In the technical demand, surgeons need to handle a long mobile organ, the colon, and have to operate on multiple abdominal quadrants, most of the time with the need to secure multiple mesenteric vessels. Therefore, a new surgical innovation called hand-assisted laparoscopic surgery (HALS) was introduced in the mid 1990s as a useful alternative to totally laparoscopic procedures. This hybrid operation allows the surgeon to introduce the non-dominant hand into the abdominal cavity through a special hand port while maintaining the pneumoperitoneum. A hand in the abdomen can restore the tactile sensation which is usually lacking in laparoscopic procedures. It also improves the eye-to-hand coordination, allows the hand to be used for blunt dissection or retraction and also permits rapid control of unexpected bleeding. All of those factors can contribute tremendously to reducing the operative time. Moreover, this procedure is also considered as a hybrid procedure that combines the advantages of both minimally invasive and conventional open surgery. Nevertheless, the exact role of HALS in colorectal surgery has not been well defined during the advanced totally laparoscopic procedures. This article reviews the current status of hand-assisted laparoscopic colorectal surgery as a minimally invasive procedure in the era of laparoscopic surgery. | Abdul-Wahed Nasir Meshikhes | 2010 | World Journal of Gastroenterology2010,16,45: | 24 |
| 2 | Traumatic pancreatic fistula with sinistral portal hypertension:Surgical management显示文摘Combined ductal and vascular injuries are awesome complications of pancreatic injury.We report on a 29-year-old male unrestrained driver who sustained a blunt abdominal injury from the steering wheel in a high velocity head-on car collision.He developed a pancreatic fistula,portosplenic venous thrombosis and sinistral portal hypertension as a result of complete duct disruption at the pancreatic neck.We describe a safe surgical strategy of spleen-preserving distal pancreatectomy after failed medical and endoscopic management. | Shoukat Ahmad Bojal Kam Fung Leung Abdul-Wahed Nasir Meshikhes | 2010 | World Journal of Gastrointestinal Surgery2010,2,7: | 6 |
| 3 | Appendiceal mass:Is interval appendicectomy “something of the past” ?显示文摘The need for interval appendicectomy (I.A) after successful conservative management of appendiceal mass has recently been questioned.Furthermore,emergency appendicectomy for appendiceal mass is increasingly performed with equal success and safety to that performed in non-mass forming acute appendicitis.There is an increasing volume of evidence-although mostly retrospective-that if traditional conservative management is adopted,there is no need for routine I.A except for a small number of patients who continue to develop recurrent symptoms.On the other hand,the routine adoption of emergency laparoscopic appendicectomy (LA) in patients presenting with appendiceal mass obviates the need for a second admission and an operation for I.A with a considerable complication rate.It also abolishes misdiagnoses and deals promptly with any unexpected ileo-cecal pathology.Moreover,it may prove to be more cost-effective than conservative treatment even without I.A due to a much shorter hospital stay and a shorter period of intravenous antibiotic administration.If emergency LA is to become the standard of care for appendiceal mass,I.A will certainly become 'something' of the past. | Abdul-Wahed Nasir Meshikhes | 2011 | World Journal of Gastroenterology2011,17,25: | 5 |
| 4 | Hand-assisted laparo-scopic colorectal surgery: initial experience of a single surgeon显示文摘 | Meshikhes AW EI Tair M Al Ghazal T | 2011 | Sandi J Gastroenterol2011,17,: | 1 |
| 5 | Laparoscopic diagnosis of splenic tuberculosis显示文摘 | Meshikhes AW Al-Momen SA | 2006 | Surg Laparosc Endosc Percutan Tech2006,16,5: | 1 |
| 6 | Asymptomatic gallstones in the laparoscopic era 显示文摘 | Meshikhes AW | 2002 | J R Coil Surg Edinb2002,47,6: | 1 |
| 7 | Attitude of surgeons towards thromboprophylaxis in laparoscopic cholecystectomy 显示文摘 | Meshikhes AW Al-Jaroof AH | 2003 | Saudi Med2003,24,10: | 1 |
| 8 | Daflon for haerrhoids:apropective,multi centre observational study显示文摘 | Meshikhes AW | 2004 | Surgeon2004,2,6: | 1 |
| 9 | Thromboprophylaxis in laparoseopic cholecysteetomy 显示文摘 | Meshikhes AW Al-Jaroof AH | 2003 | Saudi Med J2003,24,10: | 1 |
| 10 | Port site metasta- ses after laparoscopic abdominoperineal resection of rectal cancer:report of a case显示文摘 | AI-Saif O H Sengupta B Meshikhes A W | 2011 | Surg Today2011,41,3: | 1 |
| 11 | Hand-assisted laparoscopic colorcctal surgery:initial experience of a single surgeon显示文摘 | Meshikhes AW EL Tair M Al Ghazal T | 2011 | Sandi J Gastrocnterol2011,17,1: | 1 |
| 12 | Laparoscopic diagnosis of splenic tuberculosis显示文摘 | Meshikhes AW A1-Momen S | 2006 | Surg Laparosc Endosc Pereutan Tech2006,16,5: | 1 |
| 13 | Daflon for haerrhoids:apropective,multi-centre observational study显示文摘 | Meshikhes AW | 2004 | Surgeon2004,2,6: | 1 |
| 14 | Hand-assisted laparoscopic colorectal surgery:initial experience of a single surgeon显示文摘 | Meshikhes AW El Tair M Al Ghazal T | | 0,,01: | 1 |
| 15 | A rare cause of small bowel obstruction: Abdominal cocoon显示文摘 | Abdul-Wahed Meshikhes Shoukat Bojal | 2012 | International Journal of Surgery Case Reports2012,,7: | 1 |
| 16 | Attitude of patients attending the surgical clinic towards a day surgical unit显示文摘 | A W Meshikhes M A Mubarek | 2000 | Saudi medical journal2000,21,12: | 1 |
| 17 | Hand-assisted laparoscopic coloreetal surgery: initial experience of a single surgeon 显示文摘 | Meshikhes AW E1 Tair M A1 Ghazal T | 2011 | Saudi J Gastmenterol2011,17,: | 1 |
| 18 | Controversy of hand-assisted laparoseopic colorectal surgery显示文摘 | Meshikhes AW | 2010 | World J Gastroentcrol2010,16,45: | 1 |
| 19 | Attitude of surgeons towards thromboprophylaxis in laparoscopic cholecystectomy 显示文摘 | Meshikhes AW Al-Jaroof AH | 2003 | Saudi Med2003,24,8: | 1 |
| 20 | Combined parathyroid adenoma and an occult papillary carcinoma显示文摘 | Meshikhes AW Butt SA A1-Saihati BA | 2004 | Saudi Med J2004,25,11: | 1 |