|
Surgical Science 2025
Is the Laparoscope Only Meant for the Abdomen?
|
Abstract:
Minimally invasive surgery and the use of endoscopy have been evolving for over 225 years. Traditionally used for general surgery procedures in the abdomen, the role of the laparoscope is now commonly used in not only the abdomen but also the retroperitoneum, chest, urinary tract, joints, pelvis, and even in the gravid uterus. It is the predominant route for surgical exploration and intervention, whether for malignant or benign diseases. As minimally invasive surgery continues to expand, novel uses of the laparoscope are devised, demonstrating that the laparoscope can be used anywhere in the body. Presented is a 42-year-old female with a large, soft-tissue thigh abscess, which, once drained, required the placement of a trocar and laparoscope to evaluate the remaining large cavity for possible retained necrosis or purulence. Simple visual inspection with retraction did not provide adequate visualization without requiring a large counter incision in a metabolically challenged patient. This case presentation highlights the versatility of endoscopy and the laparoscope instrument.
[1] | Nakayama, D.K. (2017) The Minimally Invasive Operations that Transformed Surgery. Journal of the American College of Surgeons, 2, 64-71 |
[2] | Alkatout, I., Mechler, U., Mettler, L., Pape, J., Maass, N., Biebl, M., et al. (2021) The Development of Laparoscopy—A Historical Overview. Frontiers in Surgery, 8, Article 799442. https://doi.org/10.3389/fsurg.2021.799442 |
[3] | Kelley, W.E. (2008) The Evolution of Laparoscopy and the Revolution in Surgery in the Decade of the 1990s. Journal of the Society of Laparoscopic and Robotic Sur-geons, 12, 351-357. |
[4] | Semm, K. (1976) Pelviskopie und Hysteroskopie: Farbatlas und Lehrbuch. Schattauer, 7-14. |
[5] | Vecchio, R., Macfayden, B.V. and Palazzo, F. (2000) History of Laparoscopic Surgery. Panminerva Medica, 42, 87-90. |
[6] | Litynski, G.S. (1999) Endoscopic Surgery: The History, the Pioneers. World Journal of Surgery, 23, 745-753. https://doi.org/10.1007/s002689900576 |
[7] | Tobing, S.D.A.L. and Kurniawan, D. (2020) Minimally Invasive Technique for the Abscess Drainage in Lumbosacral Tuberculosis Using Arthroscopy Sheath: A Case Report. International Journal of Surgery Case Reports, 72, 271-276. https://doi.org/10.1016/j.ijscr.2020.04.007 |
[8] | Rizvi, S.A.A., McManus, J., Foo, G. and Lockie, P. (2015) Laparoscopic Drainage of Iliopsoas Abscess. CRSLS: MIS Case Reports from SLS, 19, 1-4. https://doi.org/10.4293/crsls.2015.00005 |
[9] | Nissen, T. and Wynn, R. (2014) The Clinical Case Report: A Review of Its Merits and Limitations. BMC Research Notes, 7, Article No. 264. https://doi.org/10.1186/1756-0500-7-264 |
[10] | Breault, J.L. (2006) Protecting Human Research Subjects: The Past Defines the Future. Ochsner Journal, 6, 15-20. |