To explore clinical outcomes of hand-assisted laparoscopic surgeries for colorectal cancer (HALS).

Collected the clinical data of patients with colorectal cancer who received HALS from 2013 to 2015 in Xinjiang Urumqi Autonomous Region People's Hospital, and analysed the success rate of the technique and the long-term curative effect, the safety and effectiveness of the treatment.

One hundred and three patients were performed HALS colorectal resections. The patients′ mean age was (64±13.4) years. There were 46 male and 57 female patients. The body mass index was (27.3±5.8) kg/m² . Forty-three patients (41.8%) had experienced prior abdominal surgerys. The mean HALS time was 105 minutes (range, 55~185 minutes). The conversion rate was 2.7% (3/103).The average recovery of gastrointestinal function was 2.5 days (range, 2.2~4.5 days). The median length of hospital stay was 9 days. The postoperative complication and mortality rates were 10.7% and 0.97%, respectively. And four incisions hernia (3.9%) were followed by an average follow-up of 7.0±3.4 months. None of the patients had a trocar or a hand-port site recurrence.

A HALS colorectal resection is a safe and effective technique, and it provides all the benefits of minimally invasive surgery.