A laparotomy and a laparoscopy are two tests that doctors may use to diagnose malignant mesothelioma. A laparoscopy is when a small tube with a camera is put into the stomach area to collect a tissue sample for testing. A laparotomy is a surgery in which a doctor opens the stomach area to look for signs of cancer.
Laparoscopy
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National Kidney Foundation answeredSome people who require a nephrectomy (surgical removal of a kidney) are suitable for laparoscopic surgery (also called minimally invasive surgery). Laparoscopic surgery involves the use of a laparoscope (wand-like camera) that is passed through a series of small incisions (ports) in the abdominal wall. It is used to view the abdominal cavity and remove the kidney through a small incision. The procedure is done under general anesthesia (you are asleep and do not feel any pain). You will require a bladder catheter that is placed once you are asleep. This will be removed several hours after surgery.
Laparoscopy achieves the same results as traditional surgical techniques and can be used for both radical and partial surgery. It is also the preferred method for kidney transplant donor nephrectomy.
The advantages of laparoscopic surgery include:- shorter recovery time
- shorter hospital stay
- smaller incisions
- fewer postoperative complications
Open nephrectomy is rarely required but is also done under general anesthesia. The surgeon makes a cut (incision) in the abdomen or in the side of the abdomen (flank area). A rib may need to be removed to perform the procedure. The ureter (the tube that carries urine from the kidney to the bladder) and the blood vessels are cut away from the kidney and the kidney is removed. The incision is then closed with stitches. -
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A shorter recovery time is the major benefits of laparoscopic surgery, says Kelly Kogut, MD, in pediatric general surgery at Sunrise Children's Hospital. Learn more in this video. -
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Intermountain Healthcare answeredRobotic assisted technology helps us in surgery with suturing and reconstructing tissue. In the case of prostate surgery it helps spare nerves for preservation of erections, spare the muscle that maintains urinary continence and helps us suture, or reconstruct the urethra back to the bladder. How does it do this? The robot technology has reproduced all of the movements of the human wrist on a small instrument that can go through a very small hole (8mm) into the pelvis instead of us actually putting our hands inside the abdomen to do the surgery. The end result is a shorter hospital stay and shorter recovery from prostate surgery. -
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Dr. Kevin W. Windom, MD , OBGYN (Obstetrics & Gynecology), answeredSee All 2 AnswersYes.
Robotic surgery performed by a skilled surgeon can definitely decrease tissue trauma because a doctor is able to perform fine movements with robotic instruments. Open surgery causes a significant amount of tissue trauma and increases blood loss and infection rates. Insist on laparoscopic or robotic surgery if you are needing a procedure in the future. Minimally invasive procedures are always my preference.
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The development of laparoscopy in the 1980s led to innovations that allow surgeons to perform minor surgeries such as diagnostic laparoscopies and tubal ligations. The 1990s ushered in hysterectomies that were assisted with laparoscopy. The 2000s started robotic-assisted surgery and single-site surgeries that now allow for most gynecologic surgeries to be performed using minimally-invasive techniques. In 2011, the first single-site robotic-assisted total hysterectomies in the Mid-Atlantic were done in Richmond.
Most laparoscopic surgical procedures use one or more eight to 12 millimeter incisions. Some surgeons feel that this method is the best for most procedures, but it usually requires more than one incision. The diverse instrumentation has been developed over many years, and most outpatient abdominal and gynecologic surgery can be accomplished with this method.
Single-site surgery elevates general laparoscopy to an approach that only uses one 20-25 mm incision. This method usually requires a specialized port that allows for the camera and several instruments to be inserted from the same site. Benefits of this method include a single surgical site and less post-operative pain, with some patients able to return to their daily lives sooner, as well as a better cosmetic result.
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NewYork-Presbyterian Hospital answeredSee All 2 AnswersA type of minimally invasive surgery in which a small incision is made in the abdominal wall through which an instrument called a laparoscope is inserted to permit structures within the abdomen and pelvis to be seen. The advantages of laparoscopy include a shorter post-operative period with less pain. -
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Laparoscopy is a procedure in which a small camera attached to a thin, lighted tube is inserted directly into the abdominal cavity through a small incision. It is performed with the patient under general anesthesia. This means the patient is completely asleep during the procedure and does not respond to verbal or physical prompts.
By manipulating the camera, the doctor can directly view the pancreas and its surrounding organs. A tissue biopsy can be taken by passing a pair of forceps through the laparoscope.
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Dr. Lawrence Grunfeld, MD , Reproductive Endocrinology, answeredA fiber optic telescope, called a laparoscope, is inserted into the female's abdomen below the navel to look for endometriosis, scarring, adhesions, and other pelvic disease. At times, the procedure is performed to look for the cause of pelvic pain or infertility and is called a "diagnostic" laparoscopy. Once disease is identified, however, the surgeon should be capable of performing an "operative" laparoscopy, and actually treat the disease. Instruments such as a laser can be useful in some cases to treat adhesions and endometriosis. The primary advantages of laparoscopy include rapid patient recovery (because of the extremely small incision) and reduced cost (since the patient nearly always goes home the same day). Aside from the treatment of extremely large fibroids, most pelvic surgery can be performed laparoscopically. -
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Dr. Richard R. Boesel, MD , OBGYN (Obstetrics & Gynecology), answered on behalf of Carolinas HealthCare SystemAlthough laparoscopic techniques vary, this less invasive type of surgery usually involves a surgeon inserting an endoscope, a long thin tube with a lighted camera at its tip, through a small incision. The camera sends a two-dimensional image of the surgical site to a high-definition monitor, which the surgeon watches during the operation.