Laparoscopic Surgeries, It’s History and
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Laparoscopic Surgeries, It’s History and Importance in India. By : Dr Sanjay Kolte (Laparoscopic Surgeon). History of Laparoscopic Surgery. First Laparoscopic Procedure was performed on dogs in 1902 by Georg Kelling (Dresden) .

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Laparoscopic Surgeries, It’s History and Importance in India

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Laparoscopic surgeries it s history and importance in india

Laparoscopic Surgeries, It’s History and

Importance in India

By : Dr Sanjay Kolte

(Laparoscopic Surgeon)

History of Laparoscopic Surgery

  • First Laparoscopic Procedure was performed on dogs in 1902

  • by Georg Kelling (Dresden)

  • First Laparoscopic Surgery for Human was Performed in 1910

  • By Hans Christian (Sweden)

http://www.drsanjaykolte.in


Laparoscopic surgeries it s history and importance in india

Laparoscopic Surgery Equipments

http://www.drsanjaykolte.in


Laparoscopic surgeries it s history and importance in india

Procedures

Elective and emergency diagnostic and staging procedures, cancer surgery as well as emergency procedures such as appendicectomy.

 In this procedure, 5–10 mm diameter instruments (graspers, scissors, clip applier)

can be introduced by the surgeon into the abdomen through hollow tube.

Multiple incisions are required for technology, which uses a console located away

from the patient, with the surgeon controlling a camera, vacuum pump, saline cleansing

solution, cutting tools, etc.

The surgeon's hands manipulate two haptic grippers which track hand movements

and rotations while relaying haptic sensations back to the surgeon.

http://www.drsanjaykolte.in


Laparoscopic surgeries it s history and importance in india

Pro’s of Laparoscopic Surgery

Reduce Stress Response : The net effect is of an increased breakdown of carbohydrates,

lipids and protein and reduced peripheral utilization of glucose.

Cytokines : Tissue damage is limited as IL-6 activates the repair process by stimulating the release of acute phase proteins

Less postoperative pain

Briefer hospital stay

More rapid postoperative recovery with comparable efficacy

Fewer wound complications (wound infections, dehiscence, incisional hernias)

http://www.drsanjaykolte.in


Laparoscopic surgeries it s history and importance in india

Con’s of Laparoscopic Surgery

Higher rates of postoperative bowel obstruction.

Physiological consequences of pneumoperitoneum

Raised intra-abdominal pressure

Difficulty in evaluating amount of blood loss

http://www.drsanjaykolte.in


Laparoscopic surgeries it s history and importance in india

Complication Rate in Laparoscopy

Conversion to laparotomy 1% , bowel perforation, CBD injury & haemorrhage

Gynae mortality 1 per 10 000 to 1 per 100 000 cases

Lap chole mortality 0.1 - 1 per 1000

Conversion to laparotomy 2 - 10 per 1000 30-50% intestinal & vascular injuries

Retroperitoneal haemorrhage

http://www.drsanjaykolte.in


Laparoscopic surgeries it s history and importance in india

About Dr. Sanjay Kolte

DNB, FMAS(AMASI IDIA), F.C.P.S.(Mumbai)

MBBS - OCTOBER 1995-BHARATI VIDYAPEETH'S MEDICAL COLLEGE, PUNE, INDIA

FCPS (General Surgery) - SEPTEMBER 2000, MUMBAI, INDIA 

(FELLOW OF COLLEGE OF PHYSICIANS AND SURGEONS)

DNB (General Surgery) - MAY 2001-KING EDWARD MEMORIAL

HOSPITAL, PUNE, INDIA (DIPLOMATE OF NATIONAL BOARD, NEW DELHI)

MNAMS - MEMBER OF NATIONAL ACADEMY OF MEDICAL SCIENCES, NEW DELHI

Contact Details:

Laparoscopic Surgery Clinic, PariharChowk,

Aundh, Aundh,

Pune, MH 411007Mobile : 91+98 22 00 94 90Email :[email protected]

http://www.drsanjaykolte.in


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