Hand-assisted laparoscopic surgery of abdominal large visceral organs

Table 2 Location of the ports and positioning of the operator

Operations	HandPort	Camera1	Scalpel1	Operator2
Left hepatic lateral segmentectomy	R upper transrectus3	Umbilicus	L upper quadrant	R
Right hepatic segmentectomy	R pararectus abdominis	Umbilicus	L upper quadrant	R
Deroofing of the hepatic huge cyst	R subcosta	Umbilicus	L upper quadrant	L
	R upper transrectus	Umbilicus	L upper quadrant	L
	R pararectus abdominis	Umbilicus	L upper quadrant	R
Splenectomy	Upper midline4	Umbilicus	L umbilicus level	R
	L upper transrectus	Umbilicus	L lower umbilicus level	R
Right hemicolectomy	Upper midline	Umbilicus	Lower midline	R
Left hemicolectomy + partial jejunectomy	Upper midline	Umbilicus	Lower midline	R
Subtotal gastrectomy	Upper midline	Umbilicus	L lower umbilicus level	R
Half gastrectomy +cholecystectomy	Upper midline	Umbilicus	R lower umbilicus level	R
Ileocecectomy	Lower midline3	Umbilicus	R middle quadrant	L

¹Camera and Scalpel can change places with each other during operation;

²Left hand into abdomen, operator can change places during operation;

³Two incisions for HandPort device were at the previous wounds of right upper transrectus abdominis and lower midline involved open partial gastrectomy and caesarean operation.respectively;

⁴Just under the xiphoid process; R: right, L: left.