Selection Of Patients For Handassisted Laparoscopy

Ultimately, it is the surgeon's decision whether patients should undergo open, standard laparoscopic, or hand-assisted laparoscopic approaches. Generally, hand-assist techniques are favored anytime intact removal of the kidney is indicated, such as nephroureterectomy, donor nephrectomy, and certain large radical nephrectomies (72). Some believe that hand assistance is an approach that is more straightforward for more urologists, making hand-assisted laparoscopy an option whenever a minimally invasive nephrectomy or procedure is feasible.

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