Laparoscopic surgery also referred to as minimally invasive surgery or keyhole surgery
refers to the performance of surgical procedures with the assistance of a video
camera and several specia thin instruments. During the surgical procedure, small
incisions of up to half an inch are made and plastic tubes called ports are placed
through these incisions. The camera and the instruments are then introduced through
the ports which allow access to the inside of the patient’s abdomen.
The camera transmits an image of the organs inside the abdomen onto a television
monitor. The surgeon is not able to see directly into the patient without the traditional
large incision. The video camera becomes a surgeon’s eyes in laparoscopic surgery,
since the surgeon uses the image from the video camera positioned inside the patient’s
body to perform the procedure.
Benefits of Laparoscopic Surgery
Laparoscopy minimises surgical trauma to healthy tissue, reducing the risk of infection
and other complications to improve surgical outcomes. Besides common operations
like removal of gall bladder, appendix, uterus fibroid, kidneys, repair of hiatus
hernia and surgery of obesity.
Patient benefits include:
• Faster recovery
• Reduced hospitalizations
• Less blood loss
• Less scarring
• Reduced pain
• Most of the patients leave hospital in 2 days and can resume work in a few days.
Advance laparoscopic surgery with hand-access devices
The human hand performs many functions during surgery that are difficult to reproduce
with laparoscopic instruments. The loss of the ability to place the hand into the
abdomen during traditional laparoscopic surgery has limited the use of laparoscopy
for complex abdominal surgery.
Hand-access devices are new laparoscopic devices that allows the surgeon to place
a hand into the abdomen during laparoscopic surgery and perform many of the different
functions with the hand that were previously possible only during open surgery.
University Hospitals Department of Urology Surgeons Utilize Specialized Surgical
Using small endoscopes (thin instruments equipped with tiny cameras), surgeons operate
through a series of 1 to 2 cm incisions and/or the body’s natural opening (the belly
button). For a minimally invasive kidney removal, a surgeon may make three or four
holes in a patient’s side and abdomen. Each hole is no more than 1 inch long. Thin
laparoscopes or probes equipped with video cameras and lighting are inserted in
the holes to guide the surgery. Toward the end of the procedure, the surgeon enlarges
one of the incisions to about 4 inches and removes the kidney. In contrast, an open
surgery would require the doctor to make an incision measuring up to 12 inches long
on the patient’s side and perhaps involve removing a rib.