+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Hand-assisted laparoscopic surgery: an overview

Hand-assisted laparoscopic surgery: an overview

Surgical Endoscopy 14(10): 891-895

Advanced laparoscopic surgery is complex and time-consuming. Achieving consistent efficacy and safety throughout the entire procedure is always a problem. For this reason, hand-assisted laparoscopic surgery (HALS) was developed. Devices were designed to allow manual access to the abdomen through the utility laparotomy. By using one hand in the abdomen during laparoscopy, the surgeon regains direct tactile sensation and acquires improved hand-eye coordination. The safety of the individual devices has been tested in RCT for the registration of the individual devices. An index known as Surgical Action Efficiency was calculated for in six patients undergoing laparoscopic colon resection and six patients with hand-assisted colon resections. All of the registered devices are safe. Surgical Action Efficiency for the laparoscopy group was 55 +/- 14%; for the HALS group, it was 71 +/- 4%. This result is statistically significant (p < 0.05). HALS is a safe and efficient method by which it is possible to combine the established convenience and safety of open surgery with the advantages of minimally invasive surgery.

(PDF emailed within 1 workday: $29.90)

Accession: 046211087

Download citation: RISBibTeXText

PMID: 11080398

Related references

Hand-assisted laparoscopic surgery in the United States: an overview. Seminars in Laparoscopic Surgery 8(2): 96-103, 2001

Comparison of Gas-less laparoscopy-assisted surgery, hand-assisted laparoscopic surgery and pure laparoscopic surgery for radical nephrectomy. International Journal of Urology 11(3): 142-147, 2004

Influence of compression pressure from the hand access device on hand microcirculation during hand-assisted laparoscopic surgery. Surgical Endoscopy 23(5): 1070-1074, 2008

A comparison of hand-assisted laparoscopic surgery and conventional laparoscopic surgery in rectal cancer: a propensity score analysis. Surgical Endoscopy 30(6): 2449-2456, 2017

Combination of video-assisted thoracoscopic surgery and hand-assisted laparoscopic surgery for early cancer of the thoracic esophagus. International Surgery 89(3): 131-135, 2004

Hand-assisted laparoscopic surgery vs standard laparoscopic surgery for colorectal disease: a prospective randomized trial. HALS Study Group. Surgical Endoscopy 14(10): 896-901, 2000

Significance of thoracoscopy-assisted surgery with a minithoracotomy and hand-assisted laparoscopic surgery for esophageal cancer: the experience of a single surgeon. Journal of Gastrointestinal Surgery 15(11): 1939-1951, 2012

Comparison and short-term outcomes between hand-assisted laparoscopic surgery and conventional laparoscopic surgery for anterior resections of left-sided colon cancer. International Journal of Colorectal Disease 25(8): 975-981, 2010

Experience of hand-assisted laparoscopic renal surgery Comparison with gas-less laparoscopic surgery. Journal of Urology 163(4 Suppl ): 324, April, 2000

Hand-assisted laparoscopic renal surgery: hand-port incision complications. Journal of Endourology 18(8): 775-779, 2005

Hand-assisted laparoscopic surgery (HALS): a bridge to complex laparoscopic procedures. Jsls 9(2): 123-124, 2005

Laparoscopic treatment of splenomegaly: a case for hand-assisted laparoscopic surgery. Archives of Surgery 146(7): 818-823, 2011

Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial. Diseases of the Colon and Rectum 51(6): 818-26; Discussion 826-8, 2008

Hand-assisted laparoscopic surgery (HALS): a useful technique for complex laparoscopic abdominal procedures. Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A 8(3): 143-150, 1998

In vitro comparison of changes in effective patient weight between purely laparoscopic and hand-assisted laparoscopic surgery. Journal of Endourology 25(4): 651-655, 2011