LAPAROSCOPIC-ASSISTED COLECTOMY WITH THE DEXTERITY(TM) PNEUMO SLEEVE

PURPOSE: The dexterity(TM) pneumo sleeve is designed to provide abdomi nal access for the surgeon's hand while preserving pneumoperitoneum du ring laparoscopy. The first experience using the dexterity(TM) pneumo sleeve in colorectal surgery is reported. METHODS: Four patients with diverticulitis and one with a dolichocolon had manually assisted lapar oscopic sigmoid colectomy with the dexterity(TM) pneumo sleeve. RESULT S: Assistance of the left hand, introduced through the dexterity(TM) d evice proved to be extremely helpful in identifying the plane of disse ction in one patient with a large diverticular mass and in another wit h a colovaginal fistula. Mean operative time was 109 minutes, blood lo ss was 80 ml, and length of incision was 7.5 cm. Flatus reoccurred at the second postoperative day, bowel movement occurred on the third day after surgery, and patients were discharged after 4.8 days. CONCLUSIO NS: With the dexterity(TM) pneumo sleeve, the tactile sensation is reg ained, which makes laparoscopic-assisted colectomy safer and faster.