Overview of Laparoscopic Surgery

What is laparoscopy? Laparoscopy is a procedure in which several small incisions are made in the abdomen, through which a pneumoperitoneum needle is inserted into one of the incisions, or an open incision is made directly into the abdomen and a puncture trocar is inserted, which is filled with CO2 to separate the abdominal organs from each other, and a trocar is inserted into the other incisions as well to carry out a whole-abdomen exploration under direct vision through laparoscopic and manipulative instruments to make a diagnosis and a treatment. Laparoscopy is like a small telescope, straight tube, in which there is a fiber-optic fiber to provide a light source, the rear is connected to a special monitor, all the structures in the abdominal cavity can be on the monitor at a glance. The CO2 pneumoperitoneum separates the organs in the abdominal cavity for diagnosis and treatment. The gas is removed as much as possible after the operation, and a small amount of CO2 gas is absorbed by the body and eliminated through breathing. What is diagnostic laparoscopy? Diagnostic laparoscopy is the use of laparoscopic techniques to examine the tissues and organs of the entire abdominal cavity under direct vision to assist in making a diagnosis. It is an invasive procedure that is used when non-invasive tests are not definitively diagnostic. What is laparoscopic surgery? Laparoscopic surgery involves the use of laparoscopic techniques to perform surgical operations through several small incisions under laparoscopic surveillance with specialized laparoscopic instruments. What are the advantages of laparoscopic surgery? In traditional surgery, a long incision and prolonged exposure of the abdominal cavity are often required, resulting in traumatic surgery, slow recovery and long hospitalization. At the same time, a long incision can cause severe postoperative wound pain and a higher incidence of postoperative complications such as infection, incisional hernia, and respiratory distress. Laparoscopic surgery, on the other hand, has a small incision, does not expose the abdominal cavity, has a fast postoperative recovery, early venting and feeding, a short hospitalization time, and significantly fewer complications. What diseases can be treated by laparoscopic surgery? Almost all general surgery procedures can now be done laparoscopically. The more commonly used are cholecystectomy, appendectomy, hernia repair, fundoplication, splenectomy, radical treatment of colorectal cancer, and bariatric surgery. Do I need anesthesia for laparoscopic surgery? General anesthesia is required for most laparoscopic surgeries, except for some laparoscopic exploration and hernia repair surgeries which can be done under local anesthesia. How long will I be hospitalized? For patients with no underlying disease, some smaller surgeries such as appendectomy, inguinal hernia repair and cholecystectomy can usually be discharged within 1-2 days after surgery. Some larger surgeries such as incisional hernia repair, parastomal hernia repair, esophageal hiatal hernia repair, gastric fundoplication, etc. are usually discharged in 3-5 days. While some big suffer such as radical tumor treatment, bariatric surgery, etc. depends on the patient’s recovery, and usually can be discharged in about 5-7 days. How long can I eat after surgery? As long as the surgery is not intestinal, generally after the recovery of anesthesia, that is, 6 hours after the surgery, you can eat, while intestinal surgery depends on the recovery of the specific surgery. How long can I return to work after surgery? Generally, you can return to work after one week’s rest, but different surgeries have different requirements, so you should consult your surgeon for the exact time. Do I need absolute bed rest after surgery? No. The advantages of laparoscopic surgery are The advantage of laparoscopic surgery is that the incision is small, the incision pain and incisional hernia incidence is low, as long as the postoperative anesthesia allows, you can get up and move around as early as possible. Is laparoscopic surgery more expensive than open surgery? Due to the need for specialized surgical instruments and supplies, most laparoscopic surgery patients have a higher hospitalization cost than conventional surgery. However, when also considering the short hospital stay and quick recovery efforts, the overall health economic assessment considers the cost to be no higher than that of open surgery. What are the risks of laparoscopic surgery? Risks of general anesthesia? Risk of infection and bleeding? Risk of injury to abdominal organs and blood vessels during surgery? Not all preparations for laparoscopic surgery can be done laparoscopically. Can surgery for a possible testicular sheath effusion or anal fistula be done laparoscopically when there is a mid-specialty open surgery? Often patients and their families will ask this question. Understand the patient’s requirements for minimally invasive, but laparoscopic surgery for the abdominal cavity organs and tissues, for the body surface surgery can not be completed laparoscopically. ,..,