During the surgical procedure, small incisions are made and the abdominal cavity is distended with absorbable gas.
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.
The camera transmits an image of the organs inside the abdomen onto a television monitor. The laparoscopic surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery since the laparoscopic surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure.
The restricted vision, the difficulty in handling the instruments new hand-eye coordination skills needed, the lack of tactile perception, and the limited working area are factors that add to the technical complexity of this surgical approach. For these reasons, minimally invasive surgery has emerged as a highly competitive new sub-specialty within various fields of laparoscopic surgery.
The advantages of this approach are:
• Less pain
• Less discomfort
• Shorter hospitalization
• Earlier mobilization
• Earlier return to work
• Better cosmesis
• Less wound complication
• Better body image perception by the patients
PROCEDURES THAT CAN BE PERFORMED BY LAPAROSCOPY
• Abdominal Surgery
• Gall Bladder Surgery
• Advanced biliary surgery
• Choledochal cyst excision with hepaticojejunostomy
• CBD exploration for CBD stones