Surgical Endoscopy

, Volume 14, Issue 10, pp 891–895 | Cite as

Hand-assisted laparoscopic surgery

An overview
  • D. W. Meijer
  • J. J. G. Bannenberg
  • J. J. Jakimowicz
Original Articles



Advanced laparoscopic surgery is complex and time-consuming. Achieving consistent efficacy and safety throughout the entire procedure is always a problem. For this reason, hand-assisted laparoscopic surgery (HALS) was developed.


Devices were designed to allow manual access to the abdomen through the utility laparotomy. By using one hand in the abdomen during laparoscopy, the surgeon regains direct tactile sensation and acquires improved handeye coordination. The safety of the individual devices has been tested in RCT for the registration of the individual devices. An index known as Surgical Action Efficiency was calculated for in six patients undergoing laparoscopic colon resection and six patients with hand-assisted colon resections.


All of the registered devices are safe. Surgical Action Efficiency for the laparoscopy group was 55±14%; for the HALS group, it was 71±4%. his result is statistically significant (p<0.05).


HALS is a safe and efficient method by which it is possible to combine the established convenience and safety of open surgery with the advantages of minimally invasive surgery.

Key words

Laparoscopy Hand-assisted laparoscopic surgery Abdominal surgery Technique 


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Copyright information

© Springer-Verlag 2000

Authors and Affiliations

  • D. W. Meijer
    • 1
  • J. J. G. Bannenberg
    • 1
  • J. J. Jakimowicz
    • 2
  1. 1.Department of Experimental SurgeryAcademic Medical CenterAmsterdamThe Netherlands
  2. 2.Department of SurgeryCatharina HospitalEindhovenThe Netherlands

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