Abstract
In the current era of minimally invasive surgery, a thorough understanding of laparoscopic equipment is equally as important as technical laparoscopic skills. Successful laparoscopic surgery requires competence with specialized equipment and devices in conjunction with a cognitive understanding of patient selection and operative strategy in order to achieve ideal outcomes. The surgeon must be capable of managing intraoperative complications specific to laparoscopic surgery. This chapter details the fundamental principles and basic techniques that form the foundation of laparoscopic surgery and allow understanding of subsequent technical laparoscopic chapters.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Further Reading
Ahmad G, Gent D, et al. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2015;8:CD006583.
Aitchison LP, Cui CK, et al. The ergonomics of laparoscopic surgery: a quantitative study of the time and motion of laparoscopic surgeons in live surgical environments. Surg Endosc. 2016;30(11):5068–76.
Antoniou SA, Antoniou GA, et al. Blunt versus bladed trocars in laparoscopic surgery: a systematic review and meta-analysis of randomized trials. Surg Endosc. 2013;27(7):2312–20.
Fung AK, Aly EH. Robotic colonic surgery: is it advisable to commence a new learning curve? Dis Colon Rectum. 2013;56(6):786–96.
Jayadevan R, Stensland K, et al. A protocol to recover needles lost during minimally invasive surgery. JSLS. 2014;18(4):e2014.00165.
Kirchhoff P, Dincler S, et al. A multivariate analysis of potential risk factors for intra- and postoperative complications in 1316 elective laparoscopic colorectal procedures. Ann Surg. 2008;248(2):259–65.
Kuhry E, Schwenk WF, et al. Long-term results of laparoscopic colorectal cancer resection. Cochrane Database Syst Rev. 2008;2:CD003432.
la Chapelle CF, Swank HA, et al. Trocar types in laparoscopy. Cochrane Database Syst Rev. 2015;12:CD009814.
Li VK, Wexner SD, et al. Use of routine intraoperative endoscopy in elective laparoscopic colorectal surgery: can it further avoid anastomotic failure? Surg Endosc. 2009;23(11):2459–65.
Lyons SD, Law KS. Laparoscopic vessel sealing technologies. J Minim Invasive Gynecol. 2013;20(3):301–7.
Marcovich R, Del Terzo MA, et al. Comparison of transperitoneal laparoscopic access techniques: Optiview visualizing trocar and Veress needle. J Endourol. 2000;14(2):175–9.
Sajid MS, Rathore MA, et al. A critical appraisal of the cost effectiveness of laparoscopic colorectal surgery for oncological and non-oncological resections. Updates Surg. 2017;69(3):339–44.
Samudrala S. Topical hemostatic agents in surgery: a surgeon’s perspective. AORN J. 2008;88(3):S2–11.
Scarpinata R, Aly EH. Does robotic rectal cancer surgery offer improved early postoperative outcomes? Dis Colon Rectum. 2013;56(2):253–62.
Seehofer D, Mogl M, et al. Safety and efficacy of new integrated bipolar and ultrasonic scissors compared to conventional laparoscopic 5-mm sealing and cutting instruments. Surg Endosc. 2012;26(9):2541–9.
Shabbir A, Dargan D. Advancement and benefit of energy sealing in minimally invasive surgery. Asian J Endosc Surg. 2014;7(2):95–101.
Sileshi B, Achneck HE, et al. Management of surgical hemostasis: topical agents. Vascular. 2008;16(Suppl 1):S22–8.
Soper NJ, Scott-Conner CEH. The SAGES manual: fundamentals of laparoscopy, thoracoscopy, and GI endoscopy. New York: Springer Publisher; 2012. p. 602.
Staderini F, Foppa C, et al. Robotic rectal surgery: state of the art. World vJ Gastrointest Oncol. 2016;8(11):757–71.
Szeto GP, Cheng SW, et al. Surgeons’ static posture and movement repetitions in open and laparoscopic surgery. J Surg Res. 2012;172(1):e19–31.
Vecchio R, Catalano R, et al. Topical hemostasis in laparoscopic surgery. G Chir. 2016;37(6):266–70.
Zaman S, Clarke R, et al. Intraoperative loss of a surgical needle: a laparoscopic dilemma. JSLS. 2015;19(2):e2013.00401.
Zelhart, M and Kaiser, AM. Robotic versus laparoscopic versus open colorectal surgery: towards defining criteria to the right choice. Surg Endosc 2017. epub ahead of print. https://doi.org/10.1007/s00464-00017-05796-00462.
Acknowledgments
This chapter was contributed by Carol E. H. Scott-Conner, MD, PhD, in the previous edition.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Popek, S.M., Jones, Z.O. (2022). Mechanical Basics of Laparoscopic Surgery. In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-81415-1_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-81414-4
Online ISBN: 978-3-030-81415-1
eBook Packages: MedicineMedicine (R0)