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Laparoscopic Surgeries, Its History and
Importance in IndiaBy : Dr Sanjay Kolte
(Laparoscopic Surgeon)
History of Laparoscopic Surgery
First Laparoscopic Procedure was performed on dogs in 1902
by Georg Kelling (Dresden)
First Laparoscopic Surgery for Human was Performed in 1910
By Hans Christian (Sweden)
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Laparoscopic Surgery Equipments
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ProceduresElective and emergency diagnostic and staging
procedures, cancer surgery as well as
emergency procedures such as appendicectomy.
In this procedure, 510 mm diameter instruments (graspers,
scissors, clip applier)
can be introduced by the surgeon into the abdomen through hollow
tube.
Multiple incisions are required for technology, which uses a
console located away
from the patient, with the surgeon controlling a camera, vacuum
pump, saline cleansing
solution, cutting tools, etc.
The surgeon's hands manipulate two haptic grippers which track
hand movements
and rotations while relaying haptic sensations back to the
surgeon.
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Pros of Laparoscopic SurgeryReduce Stress Response : The net
effect is of an increased breakdown of carbohydrates,
lipids and protein and reduced peripheral utilization of
glucose.
Cytokines : Tissue damage is limited as IL-6 activates the
repair process by stimulating
the release of acute phase proteins
Less postoperative pain
Briefer hospital stay
More rapid postoperative recovery with comparable efficacy
Fewer wound complications (wound infections, dehiscence,
incisional hernias)
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Cons of Laparoscopic SurgeryHigher rates of postoperative bowel
obstruction.
Physiological consequences of pneumoperitoneum
Raised intra-abdominal pressure
Difficulty in evaluating amount of blood loss
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Complication Rate in LaparoscopyConversion to laparotomy 1% ,
bowel perforation, CBD injury & haemorrhage
Gynae mortality 1 per 10 000 to 1 per 100 000 cases
Lap chole mortality 0.1 - 1 per 1000
Conversion to laparotomy 2 - 10 per 1000 30-50% intestinal &
vascular injuries
Retroperitoneal haemorrhage
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About Dr. Sanjay KolteDNB, FMAS(AMASI IDIA),
F.C.P.S.(Mumbai)
MBBS - OCTOBER 1995-BHARATI VIDYAPEETH'S MEDICAL
COLLEGE, PUNE, INDIA
FCPS (General Surgery) - SEPTEMBER 2000, MUMBAI, INDIA
(FELLOW OF COLLEGE OF PHYSICIANS AND SURGEONS)
DNB (General Surgery) - MAY 2001-KING EDWARD MEMORIALHOSPITAL,
PUNE, INDIA (DIPLOMATE OF NATIONAL BOARD, NEW DELHI)
MNAMS - MEMBER OF NATIONAL ACADEMY OF MEDICAL
SCIENCES, NEW DELHI
Contact Details:
Laparoscopic Surgery Clinic, Parihar Chowk,
Aundh, Aundh,
Pune, MH 411007
Mobile : 91+98 22 00 94 90
Email : [email protected]
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