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Laparoscopic Surgery

Laparoscopic Surgery

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Laparoscopic Surgery

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  1. Laparoscopic Surgery Brian Nguyen University of California - Irvine Medical Center, Orange, CA

  2. Laparoscopic Surgery • Minimally invasive technique • Introduced in 1987 • Utilizes 3+ small incisions in abdomen • Trochar placed in ports • Laparoscope passed through trochar • Key tool is laparoscope • Transmit images from cavity to monitors • Surgeon’s eyes

  3. Laparoscope

  4. Laparoscopic Surgery

  5. Laparoscopic Surgery

  6. Laparoscopic View

  7. Procedures • Gastrointestinal surgery • Gynecologic surgery • Urology • Hand-access device • Allows for pancreatic, liver and biliary procedures

  8. Benefits • Less pain • Faster return to function • Shorter hospital stay (1-3 days) • Less scarring • Less post-operative complications • SSI reduced

  9. Benefits

  10. Benefits No large midline abdominal incision

  11. Challenges • Requires more technical experience • Learning curve > 40 cases • Adhesions • Risk of puncture, injury • Risk of conversion • Bleeding, leakage