Laparoscopy is an examination of the abdominal cavity using a special set of instruments. As part of this procedure it is possible to perform treatments. A typical set consists of a laparoscope (endoscope with a camera that allows transfer images from the examined location to monitor), trocar (devices used to enter instruments), needles Veressa (first access is "blind"), insufflator (introduces air into the peritoneal cavity and causes edema for diagnosis and treatment), diathermy, and a set of surgical instruments.

General anesthesia is required before starting the procedure. Course of treatment begins with the implementation of a small cut or stab a Veresse needle, then foundation trocar and insertion a laparoscope. The next step is to put (already under visual control) remaining trocars, make insulfation and accession to the order procedure (diagnosis, treatment). In case of inability to complete the laparoscopically surgery (or if there are serious reasons: life-threatening complications, anatomic barriers) should be converted - open the abdominal walls and perform traditional surgery (laparotomy).


a) diagnostics (taking a tumor fragments, the search for endometriosis, diagnosis of liver, searching unidentified causes of inflammation);

b) treatment:

• excision of the gallbladder (cholecystectomy - a gold standard);

• antireflux operations - the gold standard;

• removal of adrenal tumors - the gold standard;

• treatment of morbid obesity;

• removal of the appendix (appendectomy);

• removal of bowel cancer lesions;

• inguinal hernia;

• removal of the spleen;

• removal of ovarian cysts or liver disease.


a) relative: older age, obesity, severe hypertension, heart failure, unstable angina, myocardial infarction, arrhythmias, the state with a history of abdominal surgery, presence of a large abdominal tumor, pregnancy> 12 weeks, active inflammation in lesser pelvis;

b) absolute: diffuse peritonitis, the patient's objection, impaired hemostasis, severe cardio-respiratory.
Possible complications: arrhythmia, subcutaneous emphysema, pneumothorax, pulmonary embolism, gastrointestinal tract failure, bleeding from large vessels.

Adenocarcinoma adenoma anatomy bleeding cancer colon colonoscopy duodenum echocardiography emr endoscopy ent images esophagus for dental students for dentists gastroscopy Histopathology hysterectomy laparoscopy polyp polypectomy rectum robotic surgery stomach surgical education surgical technique surgical video case TUMOR ulcer varices

Giant Liver Hemangioma as an Incidentaloma in...

views: 63 comments: 0

Different laparoscopic bariatric surgeries including laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass surgery (RYGB), and adjustable gastric banding (AGB) have become increasingly popular...

Massive Food Impaction in Achalasia

views: 366 comments: 0

We report a cases of acute dysphagia in the context of massivefood impaction. The patient was, a 23-year-old woman, presented with a late complication of achalasia. Impaction was the first manifestation...

Can We Give Laparoscopy a Role in Trauma?

views: 319 comments: 0

Can we give laparoscopy a role in trauma more than DPL?

Robotic Single-Site Total Laparoscopic Hysterectomy

Howard Salvay

Specialty:  Gynecology
views: 7557 comments: 0

Total Laparoscopic Hysterectomy utilizing the Single-Site platform demonstrating suturing ability and techniques.

Laparoscopic Sleeve Gastrectomy with Omentopexy...

views: 323 comments: 0

Surgical video case: laparoscopic sleeve gastrectomy with omentopexy and gastric posterior wall fixation maybe helpful for untwisting gastric twist after sleeve gastrectomy. Omentopexy and gastric posterior...

Laparoscopic Right Colectomy for Cecal Cancer

views: 370 comments: 0

Laparoscopy has emerged as the preferred operative approach for most intra-abdominal pathologic conditions. Nonetheless, even though the first laparoscopic colectomy was reported decades ago, the majority...

Goel's Technique of Laparoscopic Hysterectomy...

Dr Vipin Goel

Specialty:  Gynecology
views: 1066 comments: 1

Demonstrating the Goels technique of hysterectomy for carcinoma endometrium. This innovative method is instrumental in minimizing complications in carcinoma endometrium surgeries, leading to better patient...


views: 952 comments: 0

Educational video where the surgical steps of a laparoscopic incisional ventral hernia repair are analysed.

Laparoscopic Appendectomy for Beginners - A Step-By-Step...

views: 1676 comments: 3

This easy to understand video demonstrates the basic steps of performing a standard, uncomplicated laparoscopic appendectomy for junior and trainee surgeons.

Laparoscopic Percutaneous Inguinal Hernia Repair

views: 1735 comments: 1

A 1.5-year-old girl with a right inguinal hernia. Both inguinal canals were opened intraoperatively. The hernia was closed percutaneously with a 4.0 non-absorbable suture. The operation time was 12 minutes....