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Made: January 2007
Last update: January 2012
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Francesco G. Biondo, MD
Minimally Invasive Abdominal & Thoracic Surgeon
"Moscati" Hospital - Avellino - Italy
Tel: (+39) 825.203259 (+39) 339.2816388

Since 1987, in France, the first laparoscopic cholecistectomy was performed. Until now surgery has experienced a real revolution, becoming more technological and less invasive.
The current advanced micro and minimally invasive surgery techniques allow us to perform surgeries thanks to the help of a digital camera and subtle and sophisticated tools (holding forceps, tissue synthesis forcepts, dissectors, scissors, automatic staplers, suctions, etc) which are introduced into the abdominal or thoracic cavity with only few incisions, between 0.3-1.5 cm.

If we need to take away the specimen we can extend a few cm the surgical incision. The operation is always performed under general anaesthesia and it begins by insufflating carbon dioxide into the abdomen, which relaxes the abdominal wall allowing an easier view of the internal organs.
There is no need to insufflate carbon dioxide into the thoracic cavity because it is sufficient to collapse the lung.
The images of the structures we are operating on, are displayed on a monitor and they can also be enlarged to 20 times.

The operation can be considered the same as the open surgery, but the technique and the technology used are different and the operating time ratio can be minimized after an appropriate period of training.

In the short term there are many advantages to the patients:
  • Less trauma
  • Less post-operative pain
  • Short period of bed rest
  • Low risk of cardio-respiratory complications
  • Short hospital stay
  • Reduced chance of infections
  • Rapid wounds healing
  • Quick return to normal activity
  • Improved cosmetic results
The long term results of minimally invasive can be considered similar as to the open surgery.
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