1. Lift Laparoscopic Surgery
BENEFITS OF THE PROCEDURE
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2. “Everything has to be as simple as possible but not simpler”
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Sir Albert Einstein

3. Advantages of LS Rapid post-operative mobilization Short hospital stay
Short convalescent time
Less pain
Less post-operative morbidity

4. Disadvantages of LS Increased intra-abdominal pressure causes
Compression of:
- Diaphragm
- Inferior vena cava
- Small vessels [increasing the peripheral resistance]

5. Disadvantages of LS Rare complications like Pneumothorax {1.9%}
Pneumomediastinum {2.1%}
Pulmonary embolism
Massive sub-cutaneous emphysema {2.3%}
Cardiac arrest
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6. Physiological disadvantages of LS
Hypothermia
Shoulder pain
Metabolic acidosis
Hypercarbia {5.5%}
Hypoxemia

7. Other complications of LS
Dissemination of tumour cells
Contamination of insufflator
Contamination of instruments

8. Disadvantages of LS instruments
Expensive
Delicate
Difficult to handle
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9. The High Costs of LS Disposables Suturing devices
Special stitch materials
Coagulation and cutting devices

10. Failure of initial attempts of Lift laparoscopy
Poor vision
Difficulty in handling
Longer operating time

11. Advantages of LLS TO THE PATIENT Less pain after surgery
Shoulder pain is not present
Less pain medication needed
Faster post-operative recovery period
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12. Advantages of LLS TO THE PATIENT Surgery is more precise and safer
Less risk of infection that arises due to inadequately cleaned instruments and long tubes
No serious complications due to blind insertion of needles and trocars
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13. Advantages of LLS TO THE PATIENT
No clips or FB remaining in the body for a long time
Surgery could be performed under regional anesthesia
No ill effects of gas etc., on fetus
Less expensive
More cosmetic scars
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14. Problems of LS to Surgeons
Herniated cervical disk
Un-physiological instrument handling

15. Advantages of LLS to surgeons
Dangerous complications of blind insertions are avoided
Traditional instruments could be used
Better tactile sense
Shorter learning curve

16. Advantage of LLS to the Hospitals
Regional anesthesia => less expense 1
Less capital and Maintenance expenses 2
Less disposables used and hence less charges 3
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17. Advantage of LLS to the Hospitals
Cleaning is simpler 4
Autoclaving less expensive 5
Total cost to patient & hospital much less 6
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18. Summary
Lift-Laparoscopy has several advantages for the patients, the surgeons and to the hospitals. It has all the advantages of regular gas laparoscopy and does away with the disadvantages of the gas pneumoperitoneum. It is safer and simpler.