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Wednesday, September 7, 2011

HALS ( Hand Assisted Laparoscopic Surgery) used for colorectal cancer surgery

  • Lot of surgeons doing open colorectal oncology surgery but only < 10 % doing laparoscopic colorectal surgery
  • Most of these laparoscopic colorectal procedures require an incision 5-6cm
  • Extracorporeal resection, anastomosis, purse string for anvil and Retrieval of specimen
  • Most of the surgeons are doing basic laparoscopic procedures and would like to venture into laparoscopic colorectal surgery but have basic inhibitions:
  • equipment, learning curve
  • Bleeding
  • Suturing
  • Apprehension of conversion
  • HALS( Hand assisted laparoscopic surgery) is a hybrid operation which allows the surgeon to introduce the non-dominant hand into the abdominal cavity through a special hand port while maintaining the pneumoperitoneum
  • Main advantages of HALS are
  • Adequate maneuverability
  • Tissue retraction
  • blunt dissection
  • control of vascular pedicle
  • Improved tactile feed back, Specimen removal easier
  • Results of patient recovery are similar to total laparoscopic procedures
  • HALS gives benefit of both open and minimal invasive surgery.
  • Effective alternative to total laparoscopic approach especially in complex advanced procedures and in those surgeries which require mini laparotomy to retrieve the sample.
  • Beneficial to those surgeons who has basic laparoscopic training and wants to venture into advanced colorectal procedures.

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