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Lap.LINE

Versatility, ergonomics and efficiency – made in Germany

The ergonomic instruments of the Lap.LINE are used in all fields of laparoscopy. They are characterised by simple handling and high flexibility. In the following, we describe a typical, laparoscopic operation, removal of the gall bladder (cholecystectomy).

Anatomy of the internal organs
The functional units of all internal organs of humans include the respiratory organs, circulatory organs, excretory organs, sexual organs, sensory organs, digestive organs and locomotor system.
With the aid of laparoscopy – also known as keyhole surgery – operations can be carried out inside the abdominal cavity (abdomen). A distinction is made here between conventional procedures whereby the abdominal cavity is cut open and laparoscopic procedures which enable the introduction of an endoscope.

   
           
1
Liver
2   
Kidney
3
Gall bladder
4
Ovary
5
Uterus
6
Bladder
7
Oesophagus
8
Stomach
9
Spleen
10
Pancreas
11
Large intestine (colon)
12
Small intestine
13
Rectum

Typical laparoscopic operations

  • Removal of the gall bladder (cholecystectomy)
  • Appendectomy
  • Hernia
  • Removal of parts of the colon
  • Surgical resection of the liver (hepatectomy)

These typical laparoscopic operations are increasingly carried out by minimally invasive surgery. Among other things, various tube shaft instruments are used for this.


Procedure of a cholecystectomy – also known as gall bladder removal

  • First, a general anaesthetic is administered.
  • The abdominal wall is perforated with a VERESS-cannulae near the navel.
  • The abdominal cavity is then raised by injecting gas (CO2) in order to separate the tightly packed abdominal organs from each other and improve visibility for the surgeon. The introduction of a trocar with a stopcock valve prevents CO2 escaping on the one hand and on the other enables further CO2 to flow during the operation.
  • The first trocar is positioned, which cannot be visually inspected when it has penetrated the abdominal wall. The laparoscope is then inserted through this opening.
  • Then a further opening is made under visualisation, via which various laparoscopy instruments are inserted in order to separate, grip and hold tissue.
  • Usually, two further openings are made in the abdominal cavity in order to insert further instruments into the abdomen.
  • Dissection and detachment of the vessels at the base of the gall bladder and removal thereof from the same liver bed is carried out in the same way as in an open (conventional) operation.
  • After removal of the gall bladder, the instruments are removed, the gas is discharged and the skin is sutured.