ObjectiveTo explore the feasibility and safety of hand-assisted laparoscopic surgery (HALS) in complicated liver and spleen surgery.
MethodsHALS was used in 202 cases including 94 cases of hepatectomy，29 cases of splenectomy, 28 cases of modified Sugiura procedure, 4 cases of combined hepatectomy and splenectomy, 41 cases of combined hepatectomy and choledocholithotomy, one case of combined hepatectomy and total hysterectomy and 5 cases of combined splenectomy with choledocholithotomy.
ResultsHALS was successful in all of the 202 cases. Mean surgical time was (138±12) minutes. Mean blood loss was (179±34) mL. No serious postoperative complications occurred. The mean postoperative hospital stay was (9.2±1.1) days.
ConclusionsHALS is feasible and safe in complicatedliver and spleen surgery for strictly selected patients. It offers to patients significant benefits such as decreased operative difficulty and trauma to the abdominal wall, shortened operative time,and effective control of hemorrhage.