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Related Experiment Video

Updated: May 29, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

[Hand-assisted laparoscopic colectomy (HALC)].

Rona Spector¹, Stava Bard, Nir Wasserberg

¹Department of General Surgery B, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel.

|August 31, 2011

Summary

Hand-assisted laparoscopic colectomy (HALC) is a safe and effective colorectal surgery. This minimally invasive approach offers advantages of laparoscopy with a rapid learning curve and good patient outcomes.

Area of Science:

Minimally invasive surgery
Colorectal surgery
Surgical techniques

Context:

Laparoscopic colorectal resection is underutilized despite its benefits.
Hand-assisted laparoscopic colectomy (HALC) bridges the gap between traditional laparoscopy and open surgery.
This study reports on the experience with HALC for various colorectal conditions.

Purpose:

To evaluate the safety and efficacy of Hand-assisted laparoscopic colectomy (HALC).
To assess the outcomes and learning curve associated with HALC procedures.
To analyze patient demographics, indications, operative details, and postoperative complications.

Summary:

A prospective study of 100 patients undergoing HALC for colorectal carcinoma, benign polyps, or diverticular disease was conducted.

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The procedure demonstrated a low conversion rate (5%), short operating times, and a rapid learning curve stabilizing after 8-12 cases.

Patients experienced a median hospital stay of 5 days with a 19% complication rate, including wound infections and anastomotic leaks.

Impact:

HALC is a safe and effective minimally invasive option for colorectal resections.
The technique preserves the benefits of laparoscopy while minimizing its limitations.
This approach facilitates a quick recovery and a manageable learning curve for surgeons.