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

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