
The
second millennium has brought with it a new era of modern
surgery. The creation of video surgery is as revolutionary
to this century as the development of anesthesia and sterile
technique was to the last one. With ten years of solid experience
behind them, surgeons can now confidently approach almost
every part of the human body with cameras and video monitors.
First they make a small cut in the skin and then introduce
a harmless gas, such as carbon dioxide, into the body cavity
to expand it and create a large working space. Through additional
small cuts, a rod shaped telescope, attached to a camera,
and other long and narrow surgical instruments are placed
into the newly formed space. By this means, under high magnification
diseased organs are able to be examined with minimal trauma
to the patient. Instead of making a large cut into the skin
and underlying muscles, surgeons are now able to make small
entry ports into the area of interest and perform all the
major maneuvers previously done when a large opening was present.
Almost every organ in the human body has become accessible
to the surgeon's camera and scalpel. Gall stones can now be
removed with the gallbladder by laparoscopic surgery in over
90% of patients presenting with this disorder. Instead of
months of bed rest and limited activities, which was associated
with the old method of removing the gallbladder, patients
can now usually resume their normal activities in several
weeks.