Hand-assisted laparoscopic surgery (HALS): a report of 150 procedures

Abstract

HALS is fast, safe, and feasible for various indications, especially HLDN and (procto-)colectomies. Little advantage can be expected when HALS is applied in splenectomy and segmental bowel (sigmoid) resection.

Hand-assisted versus laparoscopic-assisted colorectal surgery: Practice patterns and clinical outcomes in a minimally-invasive colorectal practice

“…The perioperative clinical outcomes of our patients undergoing HALS compared favorably with those reported in other contemporary HALS series for benign and malignant colorectal diseases [1,10,11,14]. In 2006, Schadde et al [11] reported 104 patients who underwent HALS over a five-year period for a variety of colorectal indications.…”

“…Several studies have examined the applicability of this technique to specific advanced colorectal procedures [9,10] but few have analyzed the role of HALS in a clinical practice involving patients with a variety of benign and malignant colorectal diseases [10][11][12][13]. Although available randomized comparisons of HALS versus LA have suggested that HALS maintains the patient-related benefits of LA colectomy while shortening operative times and allowing surgeons to perform more complex cases [1,14] these studies suffered from small sample sizes.…”

Hand‐Assisted Laparoscopic Ovariohysterectomy in the Mare

“…Over the last 10 years, HALS technique has been employed for a variety of procedures. By far the most common indication is nephrectomy (Kercher et al 2003, Maartense et al 2004, Gaston et al 2004, Brown et al 2004). Other indications include liver resection (Fong et al 2000, Shimizu et al 2003, Hayakawa et al 2004), pancreas surgery (Doi et al 2003), splenectomy (Takahashi et al 2004, Bermas et al 2004, esophagectomy (Romanelli et al 2001), gastric bypass surgery and gastrectomy (Romanelli et al 2001, Sundbom andGustavsson 2004), colorectal surgery (Loungnarath and Fleshman 2003, Nakajima et al 2004, Kang et al 2004), aortoiliac surgery (Wijtenburg et al 2003), and hysterectomy (Pelosi and Pelosi 1999).…”

Single Incision Laparoscopic Splenectomy. Our First Experiences.

“…Beginning with the fi rst laparoscopic appendectomy performed by K. Semm (1) in 1983, advanced laparoscopic surgery has become an increasingly common practice as a result of technological developments, surgical curiosity, and medical ambition (2)(3)(4). In the past 30 years, laparoscopic interventions have been used in various fi elds for treatment of many malignant and benign diseases (4).…”

“…In the past 30 years, laparoscopic interventions have been used in various fi elds for treatment of many malignant and benign diseases (4). Currently, laparoscopy is preferred as an alternative to open surgery due to its low complication rates, less postoperative pain, achievement of better cosmetic results, and quicker return of patients to their daily lives (4,5).…”