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Related Experiment Video

Updated: May 15, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Hand-assisted laparoscopic colorectal surgery.

Ilun Yang¹, Robin P Boushey, Peter W Marcello

¹Division of General Surgery, The Ottawa Hospital, Ottawa, Canada.

Techniques in Coloproctology

|January 23, 2013

Summary

This summary is machine-generated.

Hand-assisted laparoscopic surgery (HALS) offers a valuable approach for colorectal resections, easing the learning curve for surgeons. This minimally invasive technique maintains clinical benefits while reducing conversion rates compared to conventional laparoscopy.

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Area of Science:

Minimally Invasive Surgery
Colorectal Surgery
Surgical Technology

Background:

Laparoscopic colorectal surgery, despite documented benefits, faced slow adoption due to technical challenges.
Hand-assisted laparoscopic surgery (HALS) emerged to address these challenges, enhancing surgeon accessibility.
HALS aims to preserve the clinical advantages of minimally invasive approaches.

Purpose of the Study:

To evaluate the efficacy and safety of hand-assisted laparoscopic surgery (HALS) in colorectal resections.
To compare HALS with conventional laparoscopic colorectal surgery.
To assess the impact of HALS on surgical learning curves and patient outcomes.

Main Methods:

Meta-analysis of three randomized controlled trials (RCTs).
Comparison of hand-assisted laparoscopic colorectal resection versus conventional laparoscopic colorectal resection.
Analysis of conversion rates, morbidity, operative time, and costs.

Main Results:

HALS demonstrated a significantly lower rate of conversion compared to conventional laparoscopic surgery.
Morbidity rates were equivalent between HALS and conventional laparoscopic colorectal resection.
Short-term postoperative benefits of conventional laparoscopic colectomies were preserved with HALS.

Conclusions:

Hand-assisted laparoscopic surgery (HALS) is a valuable option for performing colorectal resections.
HALS facilitates adoption of minimally invasive techniques by reducing technical demands and improving surgeon proprioception.
HALS offers comparable outcomes to conventional laparoscopy with potential cost offsets due to reduced operative time.