Abstract:

Once a technique used primarily for gynecologic surgery, laparoscopy is becoming increasingly popular for the performance of abdominal procedures such as cholecystectomy, bowel resection, splenectomy, adrenalectomy, nephrectomy and inguinal hernia repair. Laparoscopy results in a shorter postoperative hospital stay, less time between surgery and the resumption of full activity, reduced hospital costs, and an earlier return to the work force. By avoiding a large abdominal incision, laparoscopic surgery results in improved cosmetic results and a reduced incidence of postoperative intraabdominal adhesions. Compared to open procedures, postoperative pain is generally considered less after laparoscopic surgery. Finally, respiratory function is less compromising following Iaparoscop ic compared to open surgical procedures.

Authors:

Peter Rock, M.D., The John Hopkins Medical Institutions, Baltimore, MD

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