Laparoscopic Aortic Surgery
Laparoscopic surgery has developed rapidly over the last 20 years. Reported on Laparoscopic aortic surgery in 1993, but it was not until after the turn of the millennium that major patient materials publish in this field. The results compare with open aortic surgery. It had taken a long time to develop good enough technique and gain enough experience. Laparoscopic Trainer Box.
For many reasons use of simulators is an useful choice like Laparoscopic Trainer Box.
There are several reasons why vascular surgeons have not performed with laparoscopic surgery with as much enthusiasm as gastro-surgeons, urologists, and gynecologists. It is demanding, among other things, to achieve a stable preoperative overview and sew good laparoscopic keranas-tomoses.
- a) Patient camp, b) and c) The surgeon’s position and port locations, as well as d) intraabdominal access to the aorta during laparoscopic surgery.
Training
Significant commitment and perseverance require of the team that wants to take up laparoscopic aortic surgery. The training conditions in terms of time and equipment must be in place. In contrast to conventional surgery, much of the preparation takes place in an exercise box. Laparoscopic Trainer Box.
Application
The technique applies to both and arteriosclerosis. Laparoscopic aortic surgery at is somewhat more demanding and depends on first mastering the technique well on the arteriosclerotic aorta.
The Technique
The patient places in the right lateral position and the transperitoneal. Retro-renal route uses. The anastomosis technique itself is like open surgery.
Results
published a case-control study of 60 patients where 30 were laparoscopic aortic surgery (prospective) and 30 open aortic surgery with one year observation time (retrospective). He concluded that the short-term results were comparable. 3) prospectively followed 95 patients for 2 months and found comparable results with open aortic surgery. 4) laparoscopic aortic surgery is so far uncommon, but it seems that those who master the technique achieve comparable results with open surgery on the aorta.
The Future
If one is to assess the place laparoscopic aortic surgery will have in the future, one must consider the benefit for the patient, technical difficulties in performing the procedure, the surgeon of the future and the technical innovations of the future. If one considers the benefit of laparoscopic aortic surgery for the patient, then the literature suggests that laparoscopic aortic surgery has comparable results with open surgery when it comes to hard data. Laparoscopic Trainer Box.
If you look at the quality-of-life studies that does for other laparoscopic surgery, it must be reasonable to assume that laparoscopic aortic surgery comes out similarly. 5) We know that laparoscopic aortic surgery is difficult technically and requires continuous training on a simulator even after the first operations on humans performs. It is especially difficult for today’s senior surgeons to acquire the skills needed to master laparoscopic aortic surgery. The surgeons of the future today receive a training that includes increasingly laparoscopic procedures.
Port Placement of Laparoscopic Surgery
We already have robots as assistants in laparoscopic surgery. There is reason to believe that these further develops and help to make the current level of technical difficulty more manageable. In addition, the instruments will be better and lighter in weight at the same time as the insight into the field of operation will be three-dimensional.
Even without these assumptions coming true, there is reason to believe that laparoscopic aortic surgery will have a future, but probably in limited, enthusiastic hands. If the development is as expected, laparoscopic aortic surgery will become public vascular surgery and a good alternative to other treatment methods.
Laparoscopic Surgery Can Replace Open Surgery
Experiments with patients with colorectal cancer with liver metastases show that they lived an average of 6.5 years after treatment with laparoscopic surgery – the same as with open surgery.
A new study shows that laparoscopic surgery for patients with colorectal cancer with liver metastases does not worsen patients’ chances of survival compared to open surgery. The patients in the trial lived an average of 6.5 years after surgery regardless of the form of surgery. During the internship in laparoscopic technique, many of them have not received practical training with Laparoscopic Trainer Box.
Laparoscopic Liver Surgery
Laparoscopic liver surgery not only led to fewer postoperative complications, improved patients’ quality of life and is cheaper to perform compared to open surgery. The surgical form also achieved comparable longevity among patients after surgery. After many years of improvements in laparoscopic surgery, we now have results that show that survival is good with this procedure and that the number of deaths is low.
We expect that more operations will performs in the future with this method, says, who is a doctor at the Intervention Center and the Department of Surgery at Hospital. The new study just unveils at a congress of the Society of Clinical Oncology, which has just held. Laparoscopic surgery gave patients a better sense of quality of life.
In the study, doctors at University Hospital in the period from 2012 to 2016 performed 280 operations on patients with colorectal cancer with liver metastases. Patients randomly selects to treats with either traditional open surgery or laparoscopic surgery.
Results of Surgery
The surgeries performs so that the doctors only removed the tumor and a minimal part of the surrounding tissue. 103 people treats with laparoscopic surgery, while 147 people treat with open surgery. About half of the patients received chemotherapy before and after their surgery.
The result of the experiment shows:
- Individuals who underwent laparoscopic surgery lived an average of 80 months after surgery, compared with 81 months among patients who underwent open surgery.
- The period in which patients did not experience relapse on average was 19 months among laparoscopy patients compared with 16 months for the second group of patients.
- There was no difference in the outcome of the surgeries relative to the amount of tissue that removes.
- Patients treated with laparoscopic surgery generally reported a higher quality of life subsequently, and they also had fewer postoperative complications (19 per cent versus 31 per cent).
Minimally invasive laparoscopic surgeries are becoming more common in the treatment of many types of solid tumors in the abdomen because patients experience less complicated and faster return to their normal lives. For technically demanding operations, for example in liver operations, however, there have been concerns in relation to long-term survival.
Conclusion
This study is the first to show that laparoscopic surgery is as effective and safe as open surgery, which should give doctors some form of security when choosing between the type of surgery for this patient group, says expert and doctor Nancy N. Baxter in the press release as a commentary on the new study.
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