{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:00:29Z","timestamp":1777917629389,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2013,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To carry out hand-assisted retroperitoneoscopic nephroureterectomy (HARN) and open bladder cuff excision using a homemade hand-assist device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Twenty-four consecutive patients with upper tract transitional cell carcinoma received HARN and open bladder cuff excisions. The procedures were carried out using a homemade hand-assist device comprising a medium-sized Alexis wound retractor and surgical gloves. The Alexis wound retractor was positioned through a 7\u20138-cm Gibson incision ready for use. The surgeon inserted the double-gloved, nondominant hand into the retroperitoneal space via the wound retractor. During the procedure, the cuff of the surgeon's outer surgical glove was turned outside-in and snapped onto the external ring of the Alexis wound retractor to prevent carbon dioxide gas leakage. We successfully created pneumoretroperitoneum by insufflating with carbon dioxide at 15\u2009mm Hg. The procedure was carried out through the 7\u20138-cm Gibson incision and two additional laparoscopic ports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All procedures were performed without complication. The mean estimated blood loss was 81\u2009mL. The mean operation time was 103 minutes. Morphine (mean, 17.6\u2009mg) was administered for pain relief for 1\u20133 days following surgery. The mean time for recommencing oral intake was 1.5 days, and that to ambulation was 2.0 days. There were no wound complications related to the homemade hand-assist device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Preliminary results show that carrying out HARN using a homemade hand-assist device is safe and feasible. Our homemade hand-assist device offers a cost reduction for the HARN procedure over using commercially available devices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2012.0212","type":"journal-article","created":{"date-parts":[[2012,11,30]],"date-time":"2012-11-30T09:31:02Z","timestamp":1354267862000},"page":"48-51","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Retroperitoneoscopic Hand-Assisted Nephroureterectomy Using a Homemade Device"],"prefix":"10.1177","volume":"23","author":[{"given":"Chien-Hui","family":"Ou","sequence":"first","affiliation":[{"name":"National Cheng Kung University","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Horng","family":"Yang","sequence":"additional","affiliation":[{"name":"National Cheng Kung University","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,1,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000046453.38141.dd"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/08927790260472890"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.01.088"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.07.061"},{"key":"e_1_3_2_6_2","first-page":"57","article-title":"A prospective randomized study for evaluation of wound retractors in the prevention of incision site infections after cesarean section","volume":"38","author":"Theodoridis TD","year":"2011","unstructured":"Theodoridis TD, , Chatzigeorgiou KN, , Zepiridis L et al. A prospective randomized study for evaluation of wound retractors in the prevention of incision site infections after cesarean section. Clin Exp Obstet Gynecol, 2011; 38:57\u201359.","journal-title":"Clin Exp Obstet Gynecol"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2010.0729"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.11.001"},{"key":"e_1_3_2_9_2","first-page":"5615","article-title":"Microperforations of surgical gloves in urology: Minimally invasive versus open surgeries","volume":"18","author":"Feng T","year":"2011","unstructured":"Feng T, , Yohannan J, , Gupta A et al. Microperforations of surgical gloves in urology: Minimally invasive versus open surgeries. 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