Hand Assisted Laparoscopic Surgery

Hand Assisted Laparoscopic Surgery (HALS)

Hand-Assisted Laparoscopic Surgery (HALS) is an advanced surgical procedure where the surgeon uses his hand to guide laparoscopic instruments directly. With this method, the laparoscopic instruments gains sensory observation, which is difficult to achieve via the camera lens alone. It allows patients to benefit from the advantages of both the laparoscopic and open surgeries.

Why is HALS preferred over the standard laparoscopic surgery?

The utilization of hand in the laparoscopic surgery is considered an advanced option compared to standard laparoscopic surgery, as it enables surgeons to successfully perform many surgeries that were difficult before. The main advantage of this breakthrough is to allow complex abdominal surgeries, such as:

  • Hepatectomy
  • Nephrectomy
  • Splenectomy
  • Colorectal surgeries

Technique of Hand Assisted Laparoscopic Surgery (HALS)

During Hand-Assisted Laparoscopic Surgery (HALS), your surgeon utilizes laparoscopic instruments such as a camera, through which they will see the entire procedure. In addition, by inserting his hand into your abdomen, he aims to perform the surgical procedure with more precision. One of the devices usually used with this procedure is known as the Hand Port™. Furthermore, your surgeon needs to maintain the pneumoperitoneum level while performing the operation.

Since Hand-Assisted Laparoscopic Surgery (HALS) combines both the open surgery and minimal invasive laparoscopic surgery, it enables surgeons to minimize surgical risks compared to full laparoscopic procedures. This is especially relevant in liver surgery. In general, most of the major surgical systems are amenable to the hand assisted laparoscopic approach.

Benefits of the Hand-Assisted Laparoscopic Surgery (HALS)

Hand-Assisted Laparoscopic Surgery successfully works through achieving 2 major benefits; the improvement of operation efficiency, and maintaining the benefits that come with both the open and laparoscopic surgery.

Therefore, Hand-Assisted Laparoscopic Surgery (HALS) results in 5 main advantages:

  1. Safety: Insertion of surgeon’s hand ensures high degree of safety during the operation, especially in the control of major blood vessels and organ structures.
  2. Better quality of laparoscopic instruments’ imaging: Hand-Assisted Laparoscopic Surgery helps surgeons to direct the inserted camera (telescope), resulting in better quality of the images.
  3. Minimal incisions, compared to open surgery
  4. Simpler technique, compared to full laparoscopic procedures
  5. Suitability for difficult intra-abdominal surgeries

Complications of Hand-Assisted Laparoscopic Surgery (HALS)

The complications that may result from Hand-Assisted Laparoscopic Surgery generally include fatigue and cosmetic defect (because of the larger incision required, compared to standard laparoscopy surgery), in addition to the standard complications that arise from laparoscopic surgery.