Laparoscopic Surgeries, Its History and Importance in India

By : 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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Procedures
Elective 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 Surgery

Reduce 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 Surgery

Higher 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 Laparoscopy

Conversion 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 Kolte

DNB, 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 MEMORIAL HOSPITAL, 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 : doctorsanjaykolte@gmail.com http://www.drsanjaykolte.in