00:00:00.000 --> 00:00:08.000
[Speaker: Dr. Anthony Vine]
[Visual: Dr. Anthony Vine speaks to the camera
while sitting in his medical office.]
[Music: Inspirational background music begins.]
Laparoscopic surgery is working inside the abdomen
with very tiny holes that are the sizes of pens and pencils,
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[Visual: Video of Dr. Vine performing laparoscopic
surgery. Shot pans from his face down to his
hands and the patient’s abdomen as he inserts tools.]
and working in a gas-filled environment. We fill up the abdomen
with carbon dioxide gas, and then we are able to insert…
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[Visual: Close up of Dr. Vine’s hands holding
a pen next to a trocar.]
…what we call trocars which are pencil-sized,
hollow tubes that have valves,
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[Visual: Close up video of Dr. Vine’s hands
adjusting the trocar in a patient’s abdomen.]
such that the air can remain on the inside,
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[Visual: Camera pans to video monitor showing
trocar inside the patient’s abdomen.]
and through each of these valves,
00:00:32.000 --> 00:00:40.000
[Visual: Video of Dr. Vine’s hands demonstrating how
a grasper tool is inserted through a trocar.]
…we can insert cameras, sewing instruments, graspers…
00:00:40.000 --> 00:00:47.000
[Visual: Video of Dr. Vine in operating room
performing surgery while looking at the monitor.
Then, camera pans down to Dr. Vine’s hands
performing surgery with help from another physician.]
…everything that will allow us to do surgery, inside of
the abdomen, that we used to do with large incisions.
00:00:47.000 --> 00:00:49.000
[Visual: Operating room sounds.]
[Music: Background music continues. ]
00:00:49.000 --> 00:00:51.000
[Visual: Fades to black]
[Music: Background music fades out.]
What Is Laparoscopic Surgery?
Laparoscopic surgery is a minimally invasive procedure that offers several advantages over traditional open surgery, including reduced pain, recovery time and scarring.
How Is Laparoscopic Surgery Performed?
During the procedure, Dr. Anthony Vine makes a tiny incision and inserts a tool called a trocar, which is similar to a hollow, small pen into the abdomen or pelvis, each less than a quarter or half inch long. Once in place, Dr. Vine uses this trocar to insert various surgical tools into the abdomen, whether it be a tiny laparoscope, a device with a camera and light, or instruments as listed below. The camera offers a magnified view inside the abdominal cavity on a video monitor. The abdomen is inflated through the trocar with carbon dioxide. Other small tools inserted through the tube during the procedure include small scissors, graspers, coagulators, and suturing devices.
Benefits Of Laparoscopic Surgery
- Less invasive – tiny incisions cause minimal damage to surrounding tissue and less blood loss.
- Minimal pain – smaller wounds mean little discomfort and less anesthesia needed.
- Barely visible scars – small incisions heal with little to no scarring.
- Faster recovery – patients heal more quickly than with open surgery, returning to their daily routine sooner.
- Ambulatory procedure – the majority of patients return home the same day. Occasionally an overnight stay is required.
- Greater accuracy – the laparoscope provides a clear, magnified view for precise surgery.
Dr. Vine’s Laparoscopic Specialties
Laparoscopic Esophagogastric Surgery
Treats conditions including GERD, hiatal hernias, Achalasia, benign and malignant tumors, peptic ulcer disease, and other complex esophageal disorders.
Laparoscopic Gallbladder Removal (Cholecystectomy)
Including treatment for gallstones and stones in the bile duct.
Laparoscopic Transperitoneal Vascular Decompression or MALS Surgery
To release pressure on the celiac artery by dividing the median arcuate ligament and removing scar tissue around the celiac ganglion nerve.
Laparoscopic Colon Surgery
For Crohn’s disease, Ulcerative Colitis, familial polyposis, and both benign and malignant tumors.
Laparoscopic Small Intestine Surgery
Treats small bowel conditions.
Laparoscopic Solid Organ Surgery
Includes procedures on the adrenal glands, pancreas, and spleen
Laparoscopic Adhesion Division (adhesiolysis)
Helps to relieve obstructions caused by scar tissue or adhesions in the abdomen.
Dr. Anthony Vine is an Attending Surgeon and Clinical Professor of Surgery at the Icahn School of Medicine at Mount Sinai Hospital. His office is located at 1010 5th Avenue at the Laparoscopic Surgical Center of New York.