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
Cholecystectomy
One of the most commonly performed laparoscopic procedures is gallbladder surgery, i.e. cholecystectomy. Indications may be gallstones, acute or chronic inflammation, polyps, or gallbladder dysfunction. Any patient with findings of cholecystolithiasis (gallbladder stones) is indicated for surgery because the potential complications resulting from lithiasis when stones are loosened or bile ducts are blocked can be severe and their resolution can be significantly complicated afterwards. Conversely, a contraindication for laparoscopic surgery is carcinoma or severe inflammation of the gallbladder with inability to reliably dissect the relevant structures in the area of Callot’s triangle. In most cases, this is a planned procedure and the doctor, after consulting with the patient, has the opportunity to choose the most appropriate procedure that will be most acceptable to the patient.
The important advantages of laparoscopic surgery over standard open surgery are the lower number of associated complications and minimization of recovery time after surgery, which can thus be performed as an overnight operation.
At our clinic we perform gallbladder surgery using the most modern mini-laparoscopic method, which has even more significant benefits for the patient compared to conventional laparoscopy, in the form of fast healing and minor cosmetic consequences.