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Laparoscopic surgery, also known as minimally invasive surgery, is a specialized technique for performing operations with minimal incisions. Initially used for gynecologic and gall bladder cancer’s, its application has expanded to include intestinal surgeries over the past 20 years.
In traditional “open” surgery, the surgeon makes a single large incision to access the abdomen. In contrast, laparoscopic surgery involves multiple small incisions, typically ranging from 0.5 to 1 cm. Each incision, or “port,” allows the insertion of a tubular instrument called a trochar. The surgeon passes specialized instruments and a camera, known as a laparoscope, through these trochars. The laparoscope transmits images from inside the abdomen to high-resolution video monitors, enabling the surgeon to operate with precision while viewing detailed images on the screen.
During the procedure, the surgeon inflates the abdomen with carbon dioxide gas to create a working and viewing space. In certain situations, the surgeon may use a larger port to insert a hand, known as “hand-assisted” laparoscopy. This incision is larger than the typical laparoscopic incisions but smaller than the one required for traditional surgery.
– **Less Pain**: Smaller incisions typically result in less postoperative pain.
– **Shorter Recovery**: Patients generally experience quicker recovery times compared to traditional surgery.
– **Less Scarring**: The smaller incisions lead to minimal scarring.
Safety and Efficacy
Numerous studies involving many patients have addressed concerns about the safety of laparoscopic surgery for cancer operations. These studies demonstrate that laparoscopic surgery is safe for certain types of cancers, including colorectal cancers.
At the start of a laparoscopic operation, the surgeon inserts an endoscope through a small incision near the umbilicus. The surgeon inspects the abdomen to determine whether laparoscopic surgery can be performed safely. If significant inflammation or other factors hinder a clear view, the surgeon may make a larger incision to complete the operation safely.
As with any surgical procedure, laparoscopic surgery carries certain risks, including complications related to anesthesia, bleeding, or infection. The risk of any operation is partly determined by the nature of the specific surgery and the patient’s overall health and other medical conditions. It is crucial to discuss your individual risks with your laparoscopic surgeon before undergoing the procedure.
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