3D laparoscopy, latest technology avoiding large incision
Laparoscopy also called minimally invasive surgery or key hole surgery is a way of doing surgery without making a large incision (cut) on to the abdomen. Latest technology in this is use of 3D laparoscopy.
The 3D laparoscopic surgery is way beneficial than the traditional open surgery. It involves less pain after laparoscopic surgery than with open abdominal surgery. Open abdominal surgeries require longer hospital stays, larger incisions, and a longer recovery period than laparoscopic surgery. Meanwhile in case of 3D laparoscopic surgery the operation is carried on through small incisions which reduces the discomfort that a person has after surgery. This most often means that the person can go home the day of surgery or the next morning. She may resume normal daily activities earlier, although some restrictions on strenuous exertion may apply for the first few weeks after surgery in some cases.
When asked about which gynecological cancer operations can be done with 3D laparoscopy, Dr Dr. Rani Bhat, Senior Consultant Gynaecological Oncologist, BGS Global Hospitals said: “Many of the operations that are performed by ‘open’ surgery can be carried out by 3D laparoscopic surgery. These include- Uterine, cervical and very early ovarian cancer surgeries can be safely done through 3D laparoscopy. Other non-malignant surgeries also can be done such as endometriosis, removing cysts from the ovary, fallopian tube and ovary, ovarian drilling – treatment for polycystic ovaries, treatment for tubal infertility, laparoscopic hysterectomy – removal of the uterus (womb), treatment of ectopic pregnancy and dhesiolysis – separating scar tissue around the abdominal organs.”
3D laparoscopy is similar to traditional 2D laparoscopy, but 3D laparoscopy has added advantage of providing three dimensional images of the tissue, which helps in safely operating near vital structures such as major blood vessels.
Meanwhile, 3D laparoscopic surgeries is equivalent to robotic surgery. The current data for robotic surgery in gynecological cancer does not demonstrate any clear benefits over traditional laparoscopy. Instead, robotic surgery adds additional cost to the procedure (at least 1 lakh rupees more), she further added.
It can be noted that, BGS Global Hospital, Bengaluru is the first hospital in Karnataka to perform 3D laparoscopic surgery for gynecological cancers. 74 yrs old lady presented with bleeding from the vagina for 2 days, ultrasound of the uterus showed that her lining of the uterus was very thick suspecting cancer. PET-CT scan showed a 5 cm tumor in the uterus with no spread to other organs. She underwent 3D laparoscopic removal of her uterus with both tubes and ovaries and also lymph nodes removal. She started walking to the toilet the very next day and was discharged from the hospital and traveled about 243 kilometers to reach home on 3rd post-operative day. She has totally recovered from her cancer surgery and is back to her normal daily house hold work.
Advantages of 3D laparoscopy in Gynecological Oncology:
- Less risk of infection.
- Less blood loss.
- Smaller incisions mean less scarring and faster healing time.
- Reduces the chance of forming internal scar tissue (adhesions) after surgery.
- 3D laparoscopy is safer for the patient.