A doctor may opt for laparoscopic surgery, also called minimally invasive surgery, over making a large incision in your abdomen in an “open surgery” procedure. This quick guide will define laparoscopic surgery and explain why it may have been recommended to you.
A laparoscopic surgery is an operation that is performed by using small incisions and a camera lens. Laparoscopic surgery is appropriate for many common abdominal or pelvic procedures, including gallbladder removal, tumor removal, and appendix removal. It’s also commonly used for biopsies, as this procedure can remove small pieces of tissue for analysis. The term comes from the Greek words “laparo,” which means “wall of the abdomen,” and “skopein,” which means “to see or examine.” Given the small incisions and minimally invasive procedure, you’ll often return home the same day as your laparoscopic surgery.
The laparoscope itself is a medical instrument used to view tissues and organs in the abdomen. It is also used to procure tissue samples for a biopsy, remove gallstones, and appendectomy to name a few. The scope is a long slender tube with a light and a 5mm to 10mm diameter lens. It sends the captured images in real-time to a video monitor in the operating room. This allows your doctor to detect abnormalities inside your body without open surgery.
Laparoscopic surgeries require one to four incisions of approximately 0.4 to 0.8 inches each. The number of incisions depends on the other equipment required to complete the procedure, as other incisions may need to be made to accommodate for other surgical equipment. Once the incisions are made, your surgeon will inflate your abdominal area so they can see better. After the procedure is completed, your surgeon will close your incision with stitches or medical tape, and perhaps bandages as well.
Many of laparoscopic surgery’s benefits come from the fact that the procedure is minimally invasive, especially when compared to traditional open surgery. These benefits include:
The type of surgery, your medical history, complications and past surgeries help determine who is a good candidate for laparoscopic surgery. If you are pregnant or think you may be pregnant, laparoscopic surgery may be the best option for you.
Laparoscopic surgery is a good option for certain procedures, including appendectomies, gallbladder removal, gallstones, hernias, biopsies following inconclusive medical scans, and surgery to abdominal organs like the stomach, intestines, or colon. You may not be a good candidate for laparoscopic surgery if you had open surgery in the past or have a condition that cannot be properly addressed with laparoscopic surgery.
Dr. Franklin joined the medical staff at Piedmont Fayette Hospital in January 2011. He was previously in private practice in Gadsden, Alabama for over five years. He is board certified in general surgery and a Fellow of the American College of Surgeons.
His practice includes the full range of General Surgery – hernia, colon resection, gallbladder surgery, and other diseases of the intestines and abdominal organs. He also does surgery on the thyroid, parathyroids, and skin. He has had a distinguished career in laparoscopic and robotic surgery. While in Alabama, he was the first surgeon in the state to complete a gallbladder removal with the da Vinci robot. After moving back to Georgia, he is the first surgeon in the Piedmont health system to complete gallbladder removal with the da Vinci robot, and also the first ever utilizing a single incision in the umbilicus. He is one of a very few surgeons in the US utilizing this technique. He has been involved in laparoscopic surgery for 20 years and over 12 years robotically.
He has published and given numerous presentations to include topics of advanced laparoscopic procedures, cellular behavior of cancers, trauma, multiple sclerosis, and intravascular ultrasound. He has most recently served as chairman of the department Surgery at Piedmont Fayette. He now serves on the medical executive committee and utilization review committee. He also is involved in research projects in the US and internationally.
Dr. Franklin believes that to plan the best possible operation, the surgeon must understand and listen to the patient. He can then plan and educate the patient in regards to their forward progress. He understands that operations are not without risk, and the patient must understand those risks along with its benefits, and the alternatives to treatment.Make an apppointment