New Surgical Techniques

Laparoscopic Surgery and Transanal Endoscopic Microsurgery


Laparoscopic surgery and transanal endoscopic microsurgery are sophisticated techniques we use at CRSSNY. Laparoscopic surgery is a minimally invasive method of performing many different surgeries, including colon resection. Transanal endoscopic microsurgery is a variation on laparoscopic procedures, where we will operate through the anus. We are able to remove growths within the rectum without having to make any incisions in the abdominal wall.

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The advance in technology over the past few years has been dramatic, and laparoscopy now is allowing us to do operations through very small incisions. Blood loss is less. Pain is less. Patients are getting back to work faster. So a laparoscopy has been an unbelievable advance in technology over the past few years. Over the past, I'd say, eight or nine years, the advances have just been more and more, where the instruments that we are now using, we didn't have 10 years ago. The instruments we use now allow us to do things that were simply not possible even eight or nine years ago. So the operations that could not be done laparoscopically in the past, now we can. So having your procedure done this way clearly is advantageous to getting you back on your feet faster. The scarring is minimized, as well as the potential complications of surgery. When we are operating, for example, in the pelvis, we're concerned about issues regarding bowel and bladder function, sexual function, fertility. Laparoscopy has shown that these potential complications are minimized when using these types of approaches. In addition to laparoscopy, here at CRSSNY, our surgeons are pioneers in a relatively new procedure which is called trans-anal endoscopic microsurgery. Basically it is an application of laparoscopy, but we operate through the anus, and we're able to remove growths within the anus and the rectum without having to perform any abdominal procedure at all. There are absolutely no incisions. We basically take our laparoscopic instruments, and they're introduced through the anus via this special type of operating instrument. Through this instrument, we can do very delicate surgery. We can remove growths and tumors, and patients typically go home the same day. There is minimal, if any, pain at all whatsoever, as there are no incisions. Patients are back to work in a few days. Due to the advances in technology, such as laparoscopy and TEM, our patients now get out of the hospital very quickly; minimal scarring, minimal blood loss, minimal side effects, and they get back to their daily activities right away.

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