What question did this study set out to answer?

This research aims to compare outcomes of hand-assisted laparoscopic surgery (HALS) and laparoscopic converted to open surgery (LCOS) in proctectomy patients.

November 11, 2025Surgical Laparoscopy Endoscopy & Percutaneous Techniques

Hand-assisted Laparoscopic Surgery (HALS) as an Alternative to Laparoscopic Converted to Open Surgery (LCOS) in Proctectomy Patients

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Authors

SHStephanie S. Hyon JEJana K. ElsawwahMorristown Medical Center RNRahul Narang

Discussion

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Implication

Observations indicate lower postoperative complications and mortality in proctectomy patients undergoing hand-assisted laparoscopy, highlighting its potential advantage over open surgery.

Key Points

This research aims to compare outcomes of hand-assisted laparoscopic surgery (HALS) and laparoscopic converted to open surgery (LCOS) in proctectomy patients.
Utilized the ACS National Surgical Quality Improvement Program Proctectomy Database
Analyzed data from 211 LCOS patients and 801 HALS patients
Compared preoperative factors and postoperative outcomes
LCOS patients had higher rates of postoperative complications such as blood transfusion (20.85% vs. 5.99%)
Increased incidences of renal insufficiency (17.06% vs. 7.12%) were noted in LCOS patients
Mortality rates were significantly higher in LCOS patients (1.90% vs. 0.37%)

Cite This Study

Hyon et al. (2025) studied this question.

synapsesocial.com/papers/69252e96c0ce034ddc3563bb https://doi.org/10.1097/sle.0000000000001416

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Implication

Observations indicate lower postoperative complications and mortality in proctectomy patients undergoing hand-assisted laparoscopy, highlighting its potential advantage over open surgery.

Hand-assisted Laparoscopic Surgery (HALS) as an Alternative to Laparoscopic Converted to Open Surgery (LCOS) in Proctectomy Patients

Discussion

Member takes

Implication

Key Points

Cite This Study

Hand-assisted Laparoscopic Surgery (HALS) as an Alternative to Laparoscopic Converted to Open Surgery (LCOS) in Proctectomy Patients

Discussion

Member takes

Implication

Key Points

Cite This Study

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