In cases where the size of the specimen is large, the length of the incision can be larger (usually 10mm). For example, in surgeries like nephrectomy or colectomy where the size of the specimen is larger the incision is also a little larger when compared to regular laparoscopic surgery. Sometimes the large size of a specimen warrants a larger incision in which case surgeons prefer using their hands as it allows them to palpate the tissue and also offers greater manoeuvrability; in such cases surgeons use a specialized device called a hand access port (a sleeve with a seal that allows passage of the hand). Surgery that involves using a hand access port is known as hand-assist laparoscopy.
Most surgeons agree that even in cases that require hand-assist laparoscopy the surgery time is much lower, and the incision is smaller compared to conventional surgery. Apart from reducing the size of the incision, laparoscopic surgery is considerably less invasive when compared to traditional surgery this means post-operative recovery is much faster. The purpose of laparoscopic surgery is to reduce post-operative pain and also to reduce the recovery time. For example, laparoscopic cholecystectomy patients are usually discharged in 2 or 3 days. Studies have also concluded that post-operative infection and the incidences of incisional hernias are much lower in laparoscopic surgeries. In fact, laparoscopic surgery was initially designed to carry out routine procedures much faster without complications and minimal post-operative care.
If you are scheduled for surgery make sure you speak to your surgeon and find out if you are eligible for laparoscopic surgery. Not only is laparoscopic surgery much safer, it will also ensure you are discharged from the hospital much faster. Today laparoscopic surgery is a highly competitive and specialized field of surgery. Remember, it pays to spend a little extra to be free from post-operative pain and enjoy a quicker recovery.