Laparoscopy

Laparoscopy
Blausen 0602 Laparoscopy 02.png
Illustration of Laparoscopy
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Laparoscopy (from Ancient Greek λαπάρα (lapara), meaning 'flank, side', and σκοπέω (skopeo), meaning 'to see') is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.[1] There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include reduced pain due to smaller incisions and hemorrhaging, and shorter recovery time.

Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgical technique in which operations are performed through small incisions (usually 0.5–1.5 cm) elsewhere in the body.

There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure. Pain and hemorrhaging are reduced due to smaller incisions and recovery times are shorter. The key element in laparoscopic surgery is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location.

Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery. Specific surgical instruments used in a laparoscopic surgery include: forceps, scissors, probes, dissectors, hooks, retractors and more. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy.

Types

Cholecystectomy as seen through a laparoscope

There are two types of laparoscope:[2]

  1. a telescopic rod lens system, usually connected to a video camera (single chip or three chip)
  2. a digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system

The mechanism mentioned in the second type is mainly used to improve the image quality of flexible endoscopes, replacing traditional fiberscopes. Nevertheless, laparoscopes are rigid endoscopes. The rigidity is required in clinical practice. The rod-lens based laparoscopes dominate overwhelmingly in practice, due to their fine optical resolution (50 µm typically, dependant on the aperture size used in the objective lens), and the image quality can be better than that of the digital camera if necessary. The second type of laparoscope is very rare in the laparoscope market and in hospitals.

Also attached is a fiber optic cable system connected to a "cold" light source (halogen or xenon), to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula or trocar. The abdomen is usually insufflated with carbon dioxide gas. This elevates the abdominal wall above the internal organs to create a working and viewing space. CO2 is used because it is common to the human body and can be absorbed by tissue and removed by the respiratory system. It is also non-flammable, which is important because electrosurgical devices are commonly used in laparoscopic procedures.[3]

Other Languages
العربية: تنظير البطن
bosanski: Laparoskopija
català: Laparoscòpia
čeština: Laparoskopie
español: Laparoscopia
français: Cœlioscopie
galego: Laparoscopia
հայերեն: Լապարասկոպիա
Bahasa Indonesia: Laparoskopi
ಕನ್ನಡ: ಉದರದರ್ಶಕ
македонски: Лапароскопија
Nederlands: Laparoscopie
日本語: 腹腔鏡
oʻzbekcha/ўзбекча: Laparoskopiya
polski: Laparoskopia
português: Laparoscopia
română: Laparoscopie
русский: Лапароскопия
slovenčina: Laparoskopia
Türkçe: Laparoskopi
українська: Лапароскопія
Tiếng Việt: Nội soi ổ bụng