Related Experiment Video
Updated: Sep 27, 2026
Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
Published on: September 27, 2024
Hand-assisted laparoscopic surgery
Eduardo M Targarona1, Ester Gracia, Manuel Rodriguez
1Surgery Service, Hospital de la Santa Creu i Sant Pau, C/ Padre Claret 167, 08025 Barcelona, Spain. etargarona@hsp.santpau.es
Hypothesis:
Hand-assisted laparoscopic surgery (HALS) has been proposed as a useful alternative to conventional open or laparoscopic surgery. However, most information is fragmented and comes from specific or selective indications. To assess the current situation of HALS, a general overview of the fields of application, results, and quality of the evidence of these results is necessary.
Data Sources:
Current English-language literature review.
Study Selection:
Case reports, series, and opinion articles on HALS.
Data Extraction And Synthesis:
Evaluation of the type of study and results. Most of the articles are short case series. Only a few comparative or randomized comparative trials on HALS for splenectomy and colectomy have been published.
Conclusions:
Hand-assisted laparoscopic surgery seems to be a promising technique that has been applied with success in a wide range of digestive tract-related surgical procedures. The main role is to help in difficult cases before conversion is necessary or for training unskilled surgeons, and not as an alternative to pure laparoscopic surgery. However, not enough evidence-based data are available to know exactly the final outcome of this technique in general surgery. Prospective randomized trials with established open or laparoscopic procedures are lacking, and these trials are needed to support the final role of HALS.
