The alpha and omega of everyday surgical practice is to minimize the surgical extent while maintaining the necessary radicality of the procedure. The aim is to perform operations more accurately, more safely and at the same time to minimize possible complications.
Nowadays, laparoscopy is quite routinely used in minimally invasive methods. Compared to the methods of classical open surgery, it has indeed brought tremendous benefits to patients in many ways. Initially it was used for elective operations, later also for acute and increasingly demanding procedures. Thanks to modern technologies and further efforts to reduce the burden on the patient, the latest mini-laparoscopy technique has been developed, which we also use in our clinic thanks to full-fledged instrumentation and experienced staff.
Ports with an outer dimension of only 3 mm are used for access and are therefore only tiny punctures. The patient thus effectively avoids an unwanted incision and its associated risks and consequences. Other advantages of minilaparoscopy compared to conventional laparoscopy are reduced operative time, reduced need for postoperative medical treatment, shortened hospital stay, significantly faster recovery and thus return to normal life. Equally important for many patients is excellent cosmesis, i.e. minimal visible consequences in the form of scars on their body.
Advantages of mini-laparoscopy:
- Very small size of entry holes, no sewing required – no scars. Traces after the introduction of microinstruments in the length of only 3-4 mm.
- Same-day surgery
- Faster recovery, PN not needed
- Minimal postoperative pain
Appendectomy
The advantage of the minimally invasive laparoscopic approach to appendectomy is a lower number of postoperative infectious complications, greater comfort for the patient, a better cosmetic effect and a reduction in the length of hospital stay and the length of incapacity for work.
Laparoscopically operated patients also showed significantly lower postoperative analgesic consumption compared to the group of patients operated openly.
The laparoscopic approach is also used to evaluate the local findings by thorough revision of the abdominal cavity and subsequent indication of further therapeutic procedure. If laparoscopic appendectomy surgery cannot be performed, conversion to a laparotomy approach will be indicated.
The use of the minilaparoscopy technique reduces the length of hospital stay, especially in patients with any advanced histopathological findings.
Laparoscopy in such indication is beneficial in peroperative diagnosis, but also in subsequent variability of treatments in case of unexpected findings. The minimally invasive approach can also be used in the management of postoperative complications.