laparoscopy

Indications

• evaluation of abdominal disease
  • evaluation of abdominal pain
  • appendicitis
  • resection of colorectal cancer
  • resection of rectal neoplasm
  • biliary disease
    • cholecystitis
  • adrenal neoplasm
    • pheochromocytoma
  • pancreatic neoplasm
  • pancreatic cyst, pancreatic pseudocyst
  • gallstone pancreatitis
  • ascites
  • splenectomy
  • renal biopsy
    • renal neoplasm
    • renal cyst
    • nephrotic syndrome
  • urinary calculus
  • bladder neoplasm
  • sling procedure for stress urinary incontinence
  • bariatric surgery
  • abdominal wall hernia
  • abdominal compartment syndrome
  • esophagomyotomy for achalasia
  • fundoplication for
    • hiatal hernia
    • refractory GERD
    • esophageal stricture
    • esophageal ulceration
  • staging of esophageal cancer
  • abdominal adhesions
  • ostomy
    • jejunostomy
    • ileostomy
    • colostomy
  • colectomy, resection of small intestin
• pelvic disease
  • pelvic pain
  • gynecologic disease
    • evaluation of fertility
    • ectopic pregnancy
    • hysterectomy
      • uterine fibroids
      • uterine neoplasm
    • ovarian neoplasm
• inguinal hernia
• lymph node biopsy
  • retroperitoneal lymph node
• urogenital neoplasm
  • bladder neoplasm
• malignant neoplasm of digestive organs & peritoneum

Procedure

• endoscopic examination of the interior of the abdomen or pelvis
• done frequently in association with laparoscopic surgery

Complications

• fibrous adhesions less frequent after laparoscopy than open surgery (~50%)
• hospital readmissions directly related to adhesions (1.7% for laparoscopy vs 4.3% for open surgery)

Management

• avoid antibiotics during low-risk procedures

More general terms

• endoscopy

More specific terms

• laparoscopic ultrasound
• laparoscopy abdomen/peritoneum/omentum
• laparoscopy, abdomen, peritoneum, & omentum, diagnostic

Additional terms

• laparoscope
• laparoscopic surgery