Intestine and Lower Gastrointestinal Tract · 21 November 2025

Hand-Assisted Laparoscopic Surgery Outperforms Open Surgery in Proctectomy

Hand-assisted laparoscopic surgery (HALS) leads to fewer complications than converting laparoscopic procedures to open surgery (LCOS) in proctectomy patients.

Patients undergoing LCOS had a 20.85% transfusion rate vs. 5.99% for HALS (p < 0.001).
Postoperative renal insufficiency occurred in 17.06% of LCOS patients vs. 7.12% of HALS patients (p < 0.001).

Considering HALS in complex cases may improve outcomes and avoid unnecessary conversions.

Mortality was 1.90% in the LCOS group compared to 0.37% in the HALS group (p = 0.018).

Journal Article by Hyon SS, Elsawwah JK (…) Nemeth ZH et 3 al. in Surg Laparosc Endosc Percutan Tech

read the whole article in Surg Laparosc Endosc Percutan Tech

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