What is Laparoscopic Surgery?

Tulane Urology has a long history of performing laparoscopic surgery. This minimally invasive technique involves making several tiny incisions (0.5 to 1 cm) instead of the large 12-inch incisions traditionally used for major abdominal surgeries. A high-resolution video camera allows surgeons to visualize organs such as the kidneys, adrenals, prostate, and ureters through a 1-cm telescope, while specialized instruments are inserted through these small incisions to perform the procedure. Because of their small size, these incisions cause less postoperative discomfort compared to the larger scars from open surgery. The procedure requires general anesthesia and requires advanced surgical skill and specialized training.

Benefits of Laparoscopic Surgery

  • Less postoperative pain

  • Reduced blood loss

  • Shorter hospital stay

  • Smaller scars and better cosmetic outcomes

  • Quicker return to work and daily activities

When Laparoscopic Surgery May Not Be Appropriate

It cannot be performed in individuals with:

  • Uncorrectable bleeding disorders (coagulopathy)

  • Intestinal obstruction

  • Abdominal wall infection

  • Suspected malignant ascites

Relative contraindications include morbid obesity, extensive prior abdominal or pelvic surgery, ascites, pregnancy, severe chronic obstructive pulmonary disease (COPD), and severe cardiac arrhythmias or heart disease.

Complications

Complications are decreased in experienced surgeons who perform laparoscopy on a routine basis. The estimated complication rate of laparoscopic surgery is less than 5%.