Laparoscopic surgery also referred as minimally invasive surgery is among the key advances in medical surgery. Laparoscopic surgery is getting popular in India, as it makes much of minimally invasive surgery possible today and many other benefits compare to open surgery. The popularity of laparoscopic surgery began almost three decades ago when laparoscopic cholecystectomy was first introduced. The overwhelming public interest enjoyed by the laparoscopic cholecystectomy forced many surgeons who had neglected operative laparoscopy to take notice. Today there are many laparoscopic surgeons across India with the top laparoscopic surgeons in Mumbai.
What is Laparoscopic Surgery
Laparoscopic surgery is a modern method of surgery which involves the use of laparoscope (a thin fiber optic tube) that has a small video camera attached on its tip. In this type of surgery, small incisions of 0.5-1cm (known as port) are made. The laparoscope is inserted through this small incision mostly in the navel, and guided to the problem area. The Laparoscopic surgeon then inserts tiny surgical instruments through other small incisions (ports) to perform a procedure.
The video camera transmits an image of the organs inside the abdomen onto a screen or monitor. The laparoscopic surgeon cannot see directly the part of the patient’s organ that he or she is performing operation on rather surgeon uses the image captured by the camera positioned inside the patient’s body to perform surgical operation. The camera in any laparoscopic surgery becomes the surgeon’s eye.
What Are Advantages of Laparoscopic Surgery
- In open surgery, surgeon has to make large incision to perform surgery, but in case of laparoscopic the size of the incisions are much smaller, as a result risk of bleeding is reduced to a considerable extent. This in turn reduces the chances of blood transfusion being needed to compensate for any blood loss.
- In laparoscopic surgery, the person feel less discomfort after the operation. In most cases the person who is been operated goes home the very next day of surgery.
- The operated person can resume his or her daily activities earlier.
- In case of laparoscopy, significantly smaller scars are formed due to the smaller incision size. In most open surgery where large incision need to be made, the scare tissue that forms is more prone to infection. In some people, these scar tissue can cause pain, and in 1-3% of people, may lead to intestinal obstruction at some point in their lives.
- Exposure of the internal organs to external contaminants is much less in laparoscopic surgery, therefore reducing the risk of post-operative infection
- Laparoscopic surgeon sees the magnified images of the organ parts on the monitor. This gives the laparoscopic surgeon more detail about the tissues that might not be possible using traditional surgery.
Laparoscopic Surgery Cost in Mumbai
The cost of laparsocopic surgery varies from the type of surgery, complications and hospitals. For e.g a simple Gall Bladder laparoscopic surgery cost around Rs 15,000 to Rs 20,000 in a small nursing home with minimum facilities. In large nursing homes or private hospitals the cost could range from Rs 50,000 to 90,000 depending upon the patients choice of rooms (general ward, single room, deluxe rooms etc). And if you go in government hopsitals it would be around Rs 5000.
Advance Laparoscopic Surgery with hand-access devices
There are many complex function that human hand can perform but are difficult to replicated with laparoscopic instruments. Since in laparoscopic surgery a surgeon cannot place his or hand into patient’s abdomen, it has limited the use of laparoscopy for many complex surgery on organs like liver, pancreas or bile duct. Hand-access devices are advanced laparoscopic devices that allows a laparoscopic surgeon to place a hand into patient’s abdomen while performing laparoscopic surgery and does many of the different functions with the hand that were previously possible only during open surgery. With the use of this modern hand access devices, many laparoscopic surgery for pancreas, liver and bile duct diseases had performed successfully.
Robot assisted Laparoscopic Surgery
Robotic-assisted surgery is one of the latest innovations in the field of minimally invasive surgery. The surgical robots to assist in laparoscopic surgery has been developed in 1980’s, but its only recently when more advanced robotic system known as Da Vinci was developed that operate with high degree of precision and accuracy; many surgeons have started using it. This robotic system was developed to address the limitations of laparoscopy, including two-dimensional visualization, incomplete articulation of instruments, and also ergonomic limitations. Robot-assisted laparoscopic surgery has all of the benefits of minimally invasive surgery include less post operative pain, smaller incisions, shorter stay in hospitals and faster recovery time.
With Da Vinci robotic system, there is no direct contact between surgeon and patient. The surgeon is working a few feet away seated at a computer console. Surgeon can see a three dimensional view of the operating field on a tv screen and operates two masters that are similar to joysticks. These masters control the mechanical arms on the robot that is equipped with specialized instruments with hand-like movements which carry out the surgery through small holes in the patient’s abdomen.