A laparoscopic disk
assembly for a Hand Assisted
Laparoscopic Surgery (HALS) procedure includes an exteriorly visible laparoscopic disk (seal cap) attached to a
retractor skirt. The laparoscopic disk provides an adjustable exterior opening. A downward annular surface is supported by an attached flexible or resilient (“soft) support member that in turn forms an annular contact upon a patient's
abdomen wall surrounding an incision to form a sealing connection, to facilitate improved manipulation or
degrees of freedom through the laparoscopic disk without loss of insufflation pressure, to minimize, if not eliminate, bruising, to prevent rotation movement of a
retractor skirt in the incision, and to reduce fatigue. Versions include a resilient pad, a resilient skirt that adheres to the patient's
skin, a skirt with horizontal pleats, and a toroidal bladder that comfortably depresses into the
skin.