Cecchini Rosell Luis

Trócares a través de los cuales se colocan los instrumentos para la intervención

Instruments are introduced through some tubes (trocars) that are set through the skin. The number of these trocars will depend on the surgery complexity.

There are several instruments to work through these ports equivalent to open surgery ones and others specifically designed for laparoscopy.

Òptica de laparoscòpia i porta-agulles (esquerra) i model de pinces utilitzat habitualment (dreta)All this intrumentation is in constant evolution with continuous new versions appearing,allowing for improvement in the different surgical techniques. This fact has led to new surgeries by a laparoscopic approach not feasible some years ago.

Surgical approaches by means of external instruments exist since the last century with the development of the first cystoscope (instrument introduced through the urethra to examine the inside of the bladder). Since then endoscopic surgery in Urology has evolved, allowing procedures through the urethra (transurethral), the urethers (transuretheral) and of the kidney from the exterior (percutaneous). Other specialties as Gynecology or Digestive Surgery have developed their own techniques.