Advanced laparoscopic surgery: our initial experience at Nepal Medical College

If we consider the last century of history of surgery, few advances can be compared to the changes engendered by the introduction of minimally invasive surgery, which in the last decade has represented a revolution in surgical practice and patient care. Since 1987, when the first laparoscopic chole...

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Autores principales:	Dr Nishes, Dr Subash, Prof Pranil
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Laproscopic Nephrectomy Fundoplication TEP Appendectomy Surgery RD1-811
Acceso en línea:	https://doaj.org/article/ba234e0dab6c43ec90ebdb4c89e92cd9
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spelling	oai:doaj.org-article:ba234e0dab6c43ec90ebdb4c89e92cd92021-12-05T19:16:43ZAdvanced laparoscopic surgery: our initial experience at Nepal Medical College10.3126/jssn.v18i3.152721815-39842392-4772https://doaj.org/article/ba234e0dab6c43ec90ebdb4c89e92cd92016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15272https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 If we consider the last century of history of surgery, few advances can be compared to the changes engendered by the introduction of minimally invasive surgery, which in the last decade has represented a revolution in surgical practice and patient care. Since 1987, when the first laparoscopic cholecystectomy was performed, laparoscopic procedures have been the standard of care for many routine diagnostic and therapeutic procedures. Laparoscopic techniques have become an integral part of the operative management in virtually every realm of general surgery. The success of the laparoscopic technique has been due mainly to patient demand, which has contributed to a rapid expansion in the number of laparoscopic procedures performed The benefits conferred to patients by less invasive procedures like decreased pain, and shorter recovery time have to be weighed against overzealous application and the problems created by the lack of familiarity with new techniques and instruments. Basic laparoscopic procedures include laparoscopic cholecystectomy, laparoscopic appendectomy, and diagnostic laparoscopy. All other laparoscopic operations are defined as “advanced”. Learning curve and added expenses have been prohibitative in development of advanced laparoscopic surgery in resource poor setting like ours. However, advance laparoscopic surgery is here to stay. We must therefore have a concentrated effort to move towards offering these facilities to our patients. Despite the initial hiccups, some advanced laparoscopic surgeries are being performed and at Nepal Medical College, moving a step closer towards the gold standards in surgical management. Surgeons from various units and subspecialties work together and help each other and utilize each other’s limited experience. This spirit has been a great help to reach our way to develop ourselves despite our technical limitations. Our experience is limited but the outcomes so far are encouraging and we have tried to highlight the significance of framework. There is a long road ahead but a hood beginning is more than half done. Dr NishesDr SubashProf PranilSociety of Surgeons of NepalarticleLaproscopicNephrectomyFundoplicationTEPAppendectomySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Laproscopic Nephrectomy Fundoplication TEP Appendectomy Surgery RD1-811
spellingShingle	Laproscopic Nephrectomy Fundoplication TEP Appendectomy Surgery RD1-811 Dr Nishes Dr Subash Prof Pranil Advanced laparoscopic surgery: our initial experience at Nepal Medical College
description	If we consider the last century of history of surgery, few advances can be compared to the changes engendered by the introduction of minimally invasive surgery, which in the last decade has represented a revolution in surgical practice and patient care. Since 1987, when the first laparoscopic cholecystectomy was performed, laparoscopic procedures have been the standard of care for many routine diagnostic and therapeutic procedures. Laparoscopic techniques have become an integral part of the operative management in virtually every realm of general surgery. The success of the laparoscopic technique has been due mainly to patient demand, which has contributed to a rapid expansion in the number of laparoscopic procedures performed The benefits conferred to patients by less invasive procedures like decreased pain, and shorter recovery time have to be weighed against overzealous application and the problems created by the lack of familiarity with new techniques and instruments. Basic laparoscopic procedures include laparoscopic cholecystectomy, laparoscopic appendectomy, and diagnostic laparoscopy. All other laparoscopic operations are defined as “advanced”. Learning curve and added expenses have been prohibitative in development of advanced laparoscopic surgery in resource poor setting like ours. However, advance laparoscopic surgery is here to stay. We must therefore have a concentrated effort to move towards offering these facilities to our patients. Despite the initial hiccups, some advanced laparoscopic surgeries are being performed and at Nepal Medical College, moving a step closer towards the gold standards in surgical management. Surgeons from various units and subspecialties work together and help each other and utilize each other’s limited experience. This spirit has been a great help to reach our way to develop ourselves despite our technical limitations. Our experience is limited but the outcomes so far are encouraging and we have tried to highlight the significance of framework. There is a long road ahead but a hood beginning is more than half done.
format	article
author	Dr Nishes Dr Subash Prof Pranil
author_facet	Dr Nishes Dr Subash Prof Pranil
author_sort	Dr Nishes
title	Advanced laparoscopic surgery: our initial experience at Nepal Medical College
title_short	Advanced laparoscopic surgery: our initial experience at Nepal Medical College
title_full	Advanced laparoscopic surgery: our initial experience at Nepal Medical College
title_fullStr	Advanced laparoscopic surgery: our initial experience at Nepal Medical College
title_full_unstemmed	Advanced laparoscopic surgery: our initial experience at Nepal Medical College
title_sort	advanced laparoscopic surgery: our initial experience at nepal medical college
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/ba234e0dab6c43ec90ebdb4c89e92cd9
work_keys_str_mv	AT drnishes advancedlaparoscopicsurgeryourinitialexperienceatnepalmedicalcollege AT drsubash advancedlaparoscopicsurgeryourinitialexperienceatnepalmedicalcollege AT profpranil advancedlaparoscopicsurgeryourinitialexperienceatnepalmedicalcollege
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Advanced laparoscopic surgery: our initial experience at Nepal Medical College

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