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LAPAROSCOPY
Aswin
Deepak
4th Year MBBS, IFNMU
CONTENTS
Introduction to Laparoscopy
Benefits of Laparoscopy
Laparoscopic Instruments
Laparoscopic Procedures
RecentAdvancements
FutureTrends
Conclusion and Q&A
Laparoscopy
Laparoscopy is a minimally invasive surgical
technique
Developed in the early 20th century, gained
popularity in the 1980s.
To examine and perform surgeries within the
abdominal and pelvic regions
Advantages of Laparoscopy
SMALLER
INCISIONS
REDUCED PAIN
AND SCARRING
FASTER
RECOVERY
SHORTER
HOSPITAL STAYS
Patient Benefits
Reduced pain and discomfort
Quicker return to normal activities
Lower risk of infection
Improved cosmetic outcomes
Surgeon Benefits
Enhanced visualization
Precision and control
Reduced fatigue
Better ergonomics
LAPAROSCOPIC
INSTRUMENTS
Trocars and Cannulas
Laparoscope (camera)
Graspers, scissors, and dissectors
Graspers, scissors, and dissectors
Graspers, scissors, and dissectors
Energy devices (electrocautery)
Suturing and stapling devices
Suturing and stapling devices
HOW LAPAROSCOPIC
INSTRUMENTSWORK
Trocars
• Trocars are specialized surgical
instruments used to create entry points
into the abdominal cavity during
laparoscopic procedures.
• They consist of a sharp, pointed end to
pierce the abdominal wall and a sleeve
to maintain the access channel.
• Trocars allow for the insertion of other
laparoscopic instruments, such as the
laparoscope and various surgical tools,
into the abdominal cavity through small
incisions.
INSUFFLATION
•Insufflation is the process of introducing carbon dioxide
(CO2) or another gas into the abdominal cavity after the
trocars are in place.
•It serves two primary purposes: to create space within
the abdomen by pushing the abdominal wall away from
the organs (pneumoperitoneum) and to improve
visualization by reducing the risk of obscured views due
to blood or tissue.
•Insufflation is typically achieved using a specialized
insufflator machine connected to one of the trocars.
CAMERA
PLACEMENT
•In laparoscopy, a small, high-resolution camera, known
as a laparoscope, is used to provide real-time video
images of the surgical site.
•The laparoscope is inserted through one of the trocars,
and its placement is critical for effective visualization.
•Surgeons can adjust the camera's position and angle to
view specific areas of the abdomen during the
procedure.
•The camera's video feed is displayed on a monitor,
allowing the surgical team to perform the procedure
with precision.
LAPAROSCOPIC
PROCEDURES
Common
Laparoscopic
Procedures
• Cholecystectomy (gallbladder removal)
• Appendectomy
• Hysterectomy
• Nephrectomy (kidney removal)
• Bariatric surgery
Cholecystectomy
• Gallbladder Removal
• Purpose: Removal of the gallbladder, often due to gallstones or
gallbladder disease.
• LaparoscopicApproach: Small incisions are made in the abdomen,
and a laparoscope and surgical instruments are used to remove the
gallbladder.
• Benefits: Reduced pain, faster recovery, and shorter hospital stay
compared to open surgery.
Appendectomy
• Purpose: Surgical removal of the appendix, usually due to acute
appendicitis.
• LaparoscopicApproach: Small incisions are made, and the
laparoscope and instruments are used to remove the inflamed
appendix.
• Benefits: Minimally invasive, shorter recovery time, and less
scarring.
Hysterectomy
• Purpose: Removal of the uterus, often for conditions like fibroids,
endometriosis, or cancer.
• LaparoscopicApproach: Depending on the specific case,
laparoscopic-assisted or total laparoscopic hysterectomy may be
performed, involving small incisions and laparoscopic tools.
• Benefits: Smaller incisions, reduced pain, and faster recovery
compared to traditional open hysterectomy.
Nephrectomy
Kidney Removal
• Purpose: Removal of a kidney, usually due to kidney disease,
cancer, or organ donation.
• LaparoscopicApproach: Small incisions are made, and the
laparoscope and instruments are used to dissect and remove the
kidney.
• Benefits: Minimally invasive, shorter hospital stay, and quicker
return to normal activities compared to open surgery.
Bariatric Surgery
• Purpose: Surgical procedures for weight loss in individuals with
severe obesity.
• LaparoscopicApproach:Various bariatric surgeries, such as gastric
bypass or sleeve gastrectomy, can be performed laparoscopically
with small incisions.
• Benefits: Reduced risk of complications, faster recovery, and
significant weight loss.
Recent Advancements
Advances in Imaging
• High-definition 3D laparoscopy
• Fluorescence-guided imaging
• Miniaturized cameras for smaller incisions
Recent Advancements
Robotics in Laparoscopy
• Surgical robots for
enhanced precision
• Examples: DaVinci Surgical
System
• Improved surgeon
ergonomics
Recent Advancements
Single-Incision Laparoscopy
• Performing procedures through a single incision
• Reduces scarring and improves cosmetic outcomes
FUTURETRENDS
Artificial Intelligence (AI)
AI-ASSISTED SURGERY FOR
REAL-TIME DECISION SUPPORT
PREDICTIVE ANALYTICS FOR
SURGICAL OUTCOMES
Nanotechnology
MINIATURE ROBOTICTOOLS
FOR PRECISE INTERVENTIONS
TARGETED DRUG DELIVERY
WITHINTHE BODY
Telemedicine and Remote Surgery
SURGEONS PERFORMING
PROCEDURES REMOTELY
EXPANDINGACCESSTO
SPECIALIZED CARE
IN CONCLUSION,
LAPAROSCOPY HAS COME A
LONG WAY FROM ITS HUMBLE
BEGINNINGS. IT'S NOT JUST
CHANGINGTHE WAY
SURGERIES ARE DONE; IT'S
TRANSFORMING LIVES.WE'RE
WITNESSING A HEALTHCARE
REVOLUTION RIGHT BEFORE
OUR EYES.
Any Questions
SCAN ME...
Reference:
• Laparoscopy by Johns Hopkins Medicine
• Advances in Laparoscopy:A Review byThe New England Journal of
Medicine
• Artificial Intelligence in Surgery by the American College of
Surgeons
LAPAROSCOPY.pptx

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LAPAROSCOPY.pptx