hand-assisted laparoscopy
A hybrid surgical technique combining laparoscopic visualization with the insertion of one hand into the peritoneal cavity through a small incision.
Full Definition
Hand-assisted laparoscopy is a surgical approach that combines the benefits of minimally invasive laparoscopic surgery with the tactile feedback and dexterity of open surgery by inserting the surgeon's non-dominant hand into the peritoneal cavity through a small (6-8 cm) incision. This technique utilizes a specialized hand port device that maintains pneumoperitoneum while allowing hand insertion. Hand-assisted laparoscopy is particularly useful for complex procedures, large specimen removal, or when conversion to open surgery might otherwise be necessary. It's commonly employed in colorectal surgery, complex gynecologic procedures, and urologic operations.
Usage
Usage note: Often abbreviated as HALS; represents a middle ground between pure laparoscopy and open surgery.
In Context
- "Hand-assisted laparoscopy was chosen for the complex adhesiolysis to provide better tactile feedback." — Operative plan
- "The procedure was converted to hand-assisted laparoscopy to safely manage the inflammatory adhesions." — Intraoperative decision note