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Comparison of Laparoscopic Surgeries With or Without Hand-Assisted Procedure in the Abdominal Phase of Thoracoscopic Esophagectomy:a Propensity Score-Matched Study

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Propensity matched study reveals comparable safety, with shorter operation time for hand-assisted surgery.

No significant differences in postoperative complications were found between laparoscopic surgery and hand-assisted laparoscopic surgery.
The average abdominal operation time was significantly shorter in the hand-assisted group, with HALS averaging 94 minutes compared to 132 minutes for LAP.
Propensity score matching assessed outcomes in 196 patients, ensuring balanced groups for valid comparison.
Results suggest that hand-assisted laparoscopic surgery (HALS) may be a viable approach for patients undergoing treatment for esophageal cancer.

Kaneko et al. (2025) studied this question.

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