Laparoscopic Exploratory Surgery
Exploratory laparoscopy has often been used for diagnostic purposes
to view the abdomen after abdominal trauma and in cases of abdominal
Laparoscopy is a term given to a group of operations that are performed
with the aid of a camera placed in the abdomen. Originally, the
laparoscope was used during surgical removal of the gallbladder
(laparoscopic cholecystectomy) and appendix
Now the laparoscope also allows physicians to perform minimally
invasive surgery with just a small incision in the abdomen. This
technology, known as laparoscopic assisted surgery, enables the
minimally invasive removal of the colon,
and the weight reducing procedure gastric bypass.
The procedure is usually done in the hospital, under general anesthesia,
and after informed consent has been obtained. A catheter (a small
flexible tube) is inserted through the urethra into the bladder.
An additional tube may be passed through the nostril and into the
stomach to remove intestinal contents (N-G tube). The skin of the
abdomen is cleansed, and sterile drapes are applied.
A small incision is made above or below the navel to allow the
insertion of a trocar (essentially a tube extending from inside
the abdomen to the outside), which allows passage of a video camera.
Prior to insertion of the trocar, a needle is inserted into the
incision and carbon dioxide gas is injected to elevate the abdominal
wall, and thereby create a larger space to work in. This allows
for easier viewing and manipulation of the organs.
After an adequate amount of gas is instilled, the laparoscope is
inserted, and the organs of the pelvis and abdomen are examined.
Additional small incisions are made for instruments that allow the
surgeon to move the abdominal organs, cut tissue, suture, and staple
structures to safely and effectively perform the necessary procedure.
Following the examination, the laparoscope is then removed, the
incisions are closed with sutures, and bandages are applied. Depending
upon the operation performed, a drain may be left through one of
the incisions to allow for removal of accumulated fluid.
A. General Surgery
1. Laparoscopic Surgery
f. Hiatal Hernia
2. Conventional Surgeries
f. Soft Tissue Masses and Skin
B. Vascular Surgery
1. Repair of abdominal
aortic aneurysm (AAA)
2. Bypass surgery of extremities
3. Carotid endarterectomy
4. Creation of
of central lines
C. Varicose Vein Treatment
1. TIPPS (Trans-Illuminated
2. SEPS (Subfascial
Endoscopic Perforator Surgery)
3. Deep venous
D. Breast Disease Management
1. Evaluation of breast
lumps (solid or cystic)
2. Cyst aspirations
3. Fine-needle aspiration
of solid breast lump
5. Sentinel lymph
E. Gastric Bypass (Bariatric Surgery)
F. Wound Management and Treatment
G. Thoracic surgery
1. Chest tube
2. Removal and
biopsy of nodules in lung and mediastinum
H. Vascular Laboratory