About laparoscopy As a common disease, many patients suffer from gallstones. However, because of the ten centimeter-long incision, many patients refuse to undergo surgery and take conservative treatment, often delaying their condition. Now, the promotion and application of a high-tech medical technology has relieved patients of their worries, and it is “laparoscopic technology”.
Laparoscopy is similar to the electronic gastroscope, which is an instrument with a miniature camera, and laparoscopic surgery is surgery performed using the laparoscope and its related instruments. Laparoscopic surgery is mostly performed with a 2-4 hole operation method, and after recovery, only 1-4 0.5-1 cm
It can be said that it is a small invasive and less painful operation. Laparoscopic surgery is a rapidly developing surgical procedure in recent years, as it reduces the pain of the patient’s incision, shortens the patient’s recovery period, and relatively lowers the patient’s expenses.
Laparoscopy is currently used to investigate and treat the following types of diseases: (1) gallbladder stones and biliary tract diseases: laparoscopic cholecystectomy is one of the most widely used laparoscopic procedures, and even biliary photography or removal of stones from the common bile duct can be done. (2) Acute abdominal pain and peritonitis: the use of laparoscopy can avoid unnecessary dissection and wounds, establish the diagnosis of the disease, and remove the lesion. (3) Inguinal hernia: laparoscopic hernia repair is very effective in the treatment of recurrent and bilateral hernias, and allows adequate identification of the hernia defect site and intra-abdominal organs. (4) benign gastrointestinal tumors: laparoscopy with intraoperative endoscopy can remove benign gastrointestinal tumors and perform gastrointestinal anastomosis to reduce postoperative pain and accelerate patient recovery. (5) Malignant gastrointestinal tumors: laparoscopic resection of malignant tumors is not yet widely used. However, it is very helpful for cancer staging, lymphatic metastasis and assessment of ascites. (6) Abdominal trauma: For blunt or puncture wounds of the abdomen. Laparoscopy can provide good evaluation and treatment and reduce unnecessary dissection.
Zuo Chuantong, Department of General Surgery, Qingdao Third People’s Hospital Laparoscopic surgery has the following advantages: 1. Less surgical trauma, less postoperative pain, and generally patients are not in need of pain medication after surgery. 2.
Quick recovery after surgery. The next day after the operation can eat semi-liquid food, and can get out of bed, generally 3 days after the operation can be discharged, a week after resuming normal life, work. 3.
No obvious scars on the abdomen. Traditional surgery scars are in the shape of long lines, which affect the appearance. For example, in cholecystectomy, the scar is more than 250px long, while laparoscopic surgery basically does not leave a scar, which is especially suitable for women’s beauty needs. 4.
The hospital stay is short, and the cost is not substantially higher compared with traditional surgery, and some surgeries even reduce the cost. 5. There are no postoperative intestinal adhesions and other adverse complications. What is laparoscopy and laparoscopic surgery? Laparoscopy is an instrument with a miniature camera similar to an electronic gastroscope. Laparoscopic surgery is surgery performed with a laparoscope and its associated instruments: a cold light source is used to provide illumination, a laparoscopic lens (3-10 mm in diameter) is inserted into the abdominal cavity, and the images captured by the laparoscopic lens are transmitted to the posterior signal processing system through optical fibers using digital camera technology and displayed in real time on a special on a dedicated monitor. The surgeon then uses the images of the patient’s organs from different angles displayed on the monitor screen to analyze the patient’s condition and perform the surgery with special laparoscopic instruments. Laparoscopic surgery is mostly performed with 2-4 holes, and after recovery, only 1-4 0.5-1 cm linear scars are left in the abdominal area.
It can be said to be a small invasive and less painful operation. The development of laparoscopic surgery has reduced the pain of incision, shortened the recovery period, and relatively reduced the patient’s expenses, making it a rapidly developing surgical procedure in recent years. Laparoscopy is currently used for the investigation and treatment of the following diseases: (1) gallbladder stones and biliary tract diseases: laparoscopic cholecystectomy is one of the most widely used laparoscopic procedures and has become the gold standard for the treatment of benign gallbladder diseases, and even cholangiography or removal of common bile duct stones can be done. (2) Acute abdominal pain and peritonitis: the use of laparoscopy can avoid unnecessary dissection and wounding, establish the diagnosis of the disease, and remove the lesion. (3) Inguinal hernia: laparoscopic hernia repair is very effective in the treatment of recurrent and bilateral hernias, and allows adequate identification of the hernia defect site and intra-abdominal organs. (4) benign gastrointestinal tumors: laparoscopy with intraoperative endoscopy can remove benign gastrointestinal tumors and perform gastrointestinal anastomosis to reduce postoperative pain and accelerate patient recovery. (5) Malignant gastrointestinal tumors: laparoscopic resection of malignant tumors is not yet widely used. However, it is very helpful for cancer staging, lymphatic metastasis and assessment of ascites. (6) Abdominal trauma: For blunt or puncture wounds of the abdomen. Laparoscopy can provide good evaluation and treatment and reduce unnecessary dissection. (7) In addition there are many diseases in obstetrics and gynecology, urology and thoracic surgery for which laparoscopic surgery can be performed. What are the advantages of laparoscopic surgery? 1. Less surgical trauma, less postoperative pain, generally patients do not need pain medication after surgery. 2.
Quick recovery after surgery. The next day after surgery, you can eat semi-liquid food, and can get out of bed, generally 3 days after surgery can be discharged from the hospital, a week after resuming normal life, work. 3.
No obvious scars on the abdomen. Traditional surgery scars are in the shape of long lines, which affect the appearance. For example, in cholecystectomy, the scar is more than 250px long, while laparoscopic surgery basically does not leave a scar, which is especially suitable for women’s beauty needs. 4.
The hospital stay is short, and the cost is not substantially higher compared with traditional surgery, and some surgeries even reduce the cost. 5. No postoperative intestinal adhesions and other undesirable complications. What is the difference between laparoscopic poke hole and surgical incision? Some doctors or patients are not convinced about laparoscopic surgery, thinking that the sum of the length of 2-4 laparoscopic surgical poke holes is the same as the length of open incision, as if laparoscopy is superfluous. In fact, from an arithmetic point of view alone, the sum of laparoscopic poke holes is also less than any abdominal incision, and this is not the main difference between the two, the main difference between the two is: 1, laparoscopic surgery poke holes is to expand into the abdominal cavity with instruments, the integrity of the abdominal wall is basically preserved. In contrast, open surgery is by way of incision, there is abdominal wall muscle and the corresponding vascular nerve damage, postoperative skin around the incision will appear numb, abdominal wall muscle scarring and thus become weak, there is a risk of abdominal wall incision hernia. 2, laparoscopic abdominal wall poke holes are small (ranging from 3-10mm), scattered and hidden, and do not affect the aesthetics after healing. And we often see that the surgical incision forms a centipede-like proliferative scar.3, traditional open incision infection or fat liquefaction, incision cracking, has been an unavoidable problem. And laparoscopic surgery is the best solution to this problem. In short, laparoscopy is a small incision and large surgery, and open surgery is a large incision and small surgery. What are the indications for laparoscopic cholecystectomy? 1) Symptomatic gallbladder stones. 2) Symptomatic non-stony cholecystitis. 3) Polypoid lesions of the gallbladder, including cholesterol polyps, inflammatory polyps, adenomyosis, and neoplastic polypoid lesions. 4) Early stage gallbladder adenocarcinoma. Is the cost of laparoscopic surgery high? Laparoscopic technology is a new technology. It is a comprehensive upgrade of the traditional open surgery, both in terms of treatment effect and operation technique, and requires a higher level of doctor and is more closely related to modern high technology. The investment in laparoscopy and its related equipment is more than 1 million yuan, much higher than the instruments required for similar traditional surgery, so the cost of laparoscopic surgery alone is indeed several hundred dollars higher than the corresponding traditional open surgery. However, laparoscopic surgery is less traumatic, faster recovery, less painful, both recent incisional complications and distant abdominal adhesions are greatly reduced compared to traditional open surgery, hospitalization time is shortened to 3-4 days, hospitalization costs are also significantly reduced, and the actual cost to the patient is not higher than that of traditional open surgery, and the resulting benefits are obvious.