Laparoscopic Surgery

This is also known as Keyhole Surgery. Using small holes between the sizes of 5mm to 15mm, surgeons can perform many operations which in the past requires big wounds. This means less pain for the patient, faster recovery, shorter hospital stay and faster return to usual activities.

 

It is becoming the standard way of surgery for many conditions including gallstones, hernia and colon cancer.

 

In the past, surgical operations for diseases of the abdomen would be done via an open cut in the abdomen. After the operation, the patient usually has significant pain from the big wound. This pain results in them staying in bed longer, as getting out of bed is painful and difficult. The hospital stay becomes longer. There is also a higher risk of wound problems such as infection and hernia. The scar is also longer and more obvious. There is a greater degree of internal scarring, called adhesions, which can lead to future problems such as bowel obstruction and frequent abdominal pain.

 

In 1985, Prof Dr Erich Mühe, a German surgeon, performed a keyhole operation to remove the gallbladder. Using 4 small holes ranging in size from 5mm to 10mm, he removed the gallbladder. If he did it the using traditional open technique, the wound would be about 10 to 15cm long.

Advantages of the laparoscopic or keyhole operation
  • Less pain
  • Shorter stay in hospital (after keyhole operation for gallbladder removal, the patient only stays one night)
  • Able to get out of bed earlier and walk
  • Able to return to usual activities such as work or social activities earlier
  • Better cosmesis as the scars are very small
  • Less adhesions (internal scars)
  • Less wound complications

In the early 1990s, laparoscopic surgery was introduced to Singapore. Today, laparoscopic surgery has become the standard operation for many conditions.

Below is a list of laparoscopic or keyhole operations performed by surgeons of Nexus Surgical Associates:

 

  • Laparoscopic Cholecystectomy (keyhole operation to remove the gallbladder, usually for gallstones)
  • Laparoscopic Appendicectomy (keyhole operation to remove the appendix)
  • Laparoscopic Inguinal Hernia Repair (keyhole operation to repair a groin hernia)
  • Laparoscopic Colectomy (keyhole operation to remove part of the colon, usually for cancer)
  • Laparoscopic Anterior Resection (keyhole operation to remove the rectum, usually for cancer)
  • Laparoscopic Gastrectomy (keyhole operation to remove the stomach)
  • Laparoscopic Sleeve Gastrectomy (keyhole operation to remove part of the stomach to bring about weight loss)
  • Laparoscopic Fundoplication (keyhole operation to treat those with severe reflux)
  • Laparoscopic Hepatectomy (keyhole operation to remove part of the liver, usually for cancer)
  • Laparoscopic Fenestration of Liver Cysts (keyhole operation to treat large liver cysts)
  • Laparoscopic Common Bile Duct Exploration (keyhole operation to look into the bile ducts, usually for the removal of bile duct stones)
  • Laparoscopic Pancreatectomy (keyhole operation to remove part of the pancreas, usually for a tumour) Laparoscopic Spleen-Preserving Distal Pancreatectomy (keyhole operation to remove the tail of the pancreas but preserve the spleen)
  • Laparoscopic Splenectomy (keyhole operation to remove the spleen)
  • Laparoscopic Adrenalectomy (keyhole operation to remove the adrenal gland)
  • Laparoscopic Ventral Hernia Repair (keyhole operation to repair hernia over the abdominal wall)
  • Laparoscopic Adhesiolysis (keyhole operation to manage internal scars called adhesions)
  • Laparoscopic Small Bowel Resection (keyhole operation to remove part of the small intestine)
  • Diagnostic Laparoscopy (keyhole operation to evaluate the abdomen; sometimes done to check for cancer spread)

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