What is Laparoscopic Surgery (Minimally Invasive Surgery)?

**Laparoscopic Surgery**, also known as **Minimally Invasive Surgery (MIS)**, is a modern medical technology that utilizes specialized instruments and a thin tube with a camera (Laparoscope) inserted through very small incisions, typically only 0.5–1 centimeter in size, instead of large open incisions. This method significantly reduces damage to surrounding tissues.

The Surgery Center at Thonburi-Chumphon Hospital recognizes the importance of highly efficient surgery. We utilize modern laparoscopic tools and technology to aid in diagnosis and treatment, ensuring patients receive the highest level of accuracy and care.

Open Abdominal Surgery VS Laparoscopic Surgery

Factors to Consider	Open Abdominal Surgery	Laparoscopic Surgery
Amount of blood loss	200–500 ml	5–10 ml
Duration of surgery	More than 1 hour	More than 30 minutes
Incision size	12–20 cm	0.6–0.8 cm (3–4 incisions)
Post-operative pain	High	Low
Recovery time	7–14 days	2–5 days
Cost	Normal price	High price

Open abdominal surgery scar

Laparoscopic surgery scar

Key Advantages of Laparoscopic Surgery

• Smaller Incisions and Less Pain: The minute size of the incisions leads to significantly reduced post-operative pain.
• Faster Recovery: Patients enjoy a shorter hospital stay and can return to work or daily activities much more quickly.
• Minimal Scarring: Scars are very small and fade easily, offering better cosmetic results.
• Reduced Risk: Decreases the risk of blood loss and post-operative complications, such as infection.

How Laparoscopic Surgery Works

During the operation, the surgeon gently inflates the abdomen with carbon dioxide gas (CO2) to create an expanded working space. The laparoscope and small surgical instruments are then inserted through 2–4 tiny incisions. The images from inside the body are transmitted to a high-resolution monitor, allowing the surgeon to see the internal organs clearly and perform the procedure with precision.

Common Conditions Treated with Laparoscopy

• Gallbladder Removal (Laparoscopic Cholecystectomy): Used for the treatment of gallstones.
• Appendix Removal (Laparoscopic Appendectomy): Used for the small-incision removal of an inflamed appendix.
• Hernia Repair: Can be used to repair inguinal or abdominal hernias using the keyhole technique.
• Gynecological Surgery: Such as hysterectomy (uterus removal) or ovarian cyst removal.
• Colorectal Surgery: Used to treat colon cancer or diverticulitis.

Preparation Before and After Surgery