What
procedures are amenable to the laparoscopic technique?
Since the late 1980s, less invasive surgical
methods have taken the place of traditional “open” operations, signi-ficantly
reducing the risks of morbidity and mortality. These new procedures are being
performed on patients of all ages. They do not come without a price, however;
altered changes in cardiovascular and pulmonary dynam-ics are inherent in the
laparoscopic approach and the benefits must be weighed against the risks. Awareness
of the physiologic changes that occur during laparoscopy will enable us to
further improve the outcomes of these operations.
The following is a list of the most commonly
performed laparoscopic surgical procedures:
Intra-abdominal:
· Cholecystectomy
· Vagotomy
· Appendectomy
· Colectomy
· Inguinal hernia repair
· Adrenalectomy
· Nephrectomy
· Prostatectomy
· Pancreatectomy
· Bariatric surgery
·
Nissen
fundoplication
· Para-esophageal hernia repair
· Splenectomy
· Liver resection
· Cystectomy with ileal conduit
Gynecologic
· Ectopic pregnancy
· Ovarian cystectomy
· Reversal of ovarian torsion
· Salpingo-oophorectomy
· Hysterectomy
· Myomectomy
· Sacrocolpopexy
· Lymphadenectomy, staging
· Ablation of endometriosis
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