RT Journal A1 Rosser JC, Jr T1 HAnd-assisted laparoscopic surgery—invited critique JF Archives of Surgery JO Archives of Surgery YR 2003 FD February 1 VO 138 IS 2 SP 141 OP 141 DO 10.1001/archsurg.138.2.141 UL http://dx.doi.org/10.1001/archsurg.138.2.141 AB Probably the most credible reason to embrace these appliances is that they may help to prevent the conversion of a laparoscopic to an open procedure. However, a 7-cm incision, suggested in the manuscript as being necessary to use the device, is suspect at best. Many surgeons would need a larger incision. With this in mind, some would argue that an open procedure using standard equipment could be performed without added expense.