The technique of laparoscopic appendectomy has been modified several times in the past 20 years. In this report, we have described our modifications regarding the position of ports placement and closure of the base of appendix. Three surgeons successfully performed laparoscopic appendectomy in 108 cases with these modifications during the 3-year period. The first 10 mm port is placed in the periumbilical region. The second 10 mm and third 5 mm ports are inserted in the left and right side of abdomen below the pubic hairline respectively. Then the telescope is transferred from the periumbilical to the left suprapubic port. This mode of access leads to optimal ergonomics and cosmesis. For securing the base of appendix, only one Hem-o-lok clip (nonabsorbable polymer clip) is applied on each side. The use of Hem-o-lok clip is simple, safe and decreases the time and cost of laparoscopic appendectomy.

Appendiceal stump appendicitis is a very rare surgical event, though acute appendicitis is still the most common cause of abdominal surgeries worldwide. The incidence of appendiceal stump appendicitis is on a gradual rise possibly due to laparoscopic surgeries. In this study, we report a 54-year-old woman with preoperatively diagnosed stump appendicitis by ultrasound who underwent a laparoscopic appendectomy 8 years ago.

To compare laparoscopic versus open management of the hydatid cyst of liver regarding recurrence rate, the surgical approach to liver echinococcosis is still a controversial issue. This study shows our results of surgical treatment of liver hydatid cysts during a 5 years period.

A prospective study of 32 patients operated on in a 5-year period (1999-2003) in Dubrava University Hospital, Zagreb, Croatia, with hepatic hydatid cyst. All patients were preoperatively treated with albendazole. In 32 patients, total pericystectomy without opening the cyst cavity was performed laparoscopically, other procedures were used as surgical approach.

There was no mortality after 5 to 6 months follow-up, but in one patient, in the open partial pericystectomy group, recurrence of the disease occurred after 2 to 3 years. When a laparoscopic procedure was done, there were no complications or recurrence. The median operative duration for open surgery was 100.0 minutes (range 60.0-210.0) and for laparoscopic surgery 67.5 minutes (range 60.0-120.0). The median length of hospitalization for open surgery was 8.0 days (range 7.0-14.0) and for laparoscopic surgery 5.0 days (range 4.0-7.0).

Total pericystectomy without opening the cyst cavity, preceded by preoperative albendazole therapy is the method of choice for hepatic hydatid cyst treatment. Despite the small group of patients, our first results show laparoscopic total pericystectomy, without opening the cyst cavity, in the treatment of hepatic hydatid cyst.

The trauma victims are considered the top critical patients and require a rapid decision in the management. As the main fear is bleeding, so most of them ended having laparotomy, although almost 40% ended having a less invasive management like using laparoscopy.

The use of laparoscopy as a diagnostic (with the facility to be used as a therapeutic) option at the same setting can be considered a very good tool provided the patient is hemodynamically stable. Classically, standard three ports (extraport can be added according to therapeutic technique) are used. Most of the intestinal, mesenteric and diaphragmatic injuries can be detected and repaired successfully as well as some parenchymal injuries, provided not bleeding actively and, if necessary, using some tissue adhesives.

The laparoscopic technique as a diagnostic as well as therapeutic tool (in some cases) can be used safely and with fewer complications as it reduces the significant number of negative laparotomies.

An access to the abdominal cavity laparoscopically can achieve good results in hemodynamically stable patients and avoids the morbidities related to laparotomy, decreases hospital stay and considered as a cost-effective tool.

To know the efficacy and safety of laparoscopic single port insertion of peritoneal dialysis catheter (tenckhoff) and its value in catheter efficiency time, postoperative complications, hospital stay, operation time.

A review of literature by searching in Google, Springer library facility available at the world laparoscopy hospital.

Male Female ratio, mean age, catheter survival rate, hospitalization period, early and late postoperative complications, rate of hernia and leak, catheter migration, exit site infection.

With the advancement of science and technology in the field of minimal access surgery and refinement of techniques in laparoscopic resection of rectal cancer, it has been widely accepted that the procedure is technically feasible. The safety and oncologic efficacy of laparoscopic colonic cancer resection have been demonstrated. However, the availability of review and data are scarce in evaluating the perioperative safety and long-term oncologic outcome between laparoscopic surgery in the setting of rectal cancer and open approach.

The aim of this review is to provide an update on most recent review regarding perioperative safety and oncologic feasibility of laparoscopic resection for rectal cancer.

A review of up-to-date literature and the more recent retrospective and prospective data on laparoscopic resection for rectal cancer were undertaken for utilizing Pubmed/Google/Springer Link, specifically focussing on the long-term and perioperative outcomes.

OC: Open cholecystectomy, LC: Laparoscopic cholecystectomy, RLC: Retrograde laparoscopic cholecystectomy, CLC: Conventional laparoscopic cholecystectomy, GB: Gallbladder, CBD: Common bile duct, CHD: Common hepatic duct, IOC: Intraoperative cholangiography, ERCP: Endoscopic retrograde cholangiopancreaticography.

Large prospective controlled studies are needed to determine the best diagnostic and treatment modalities for intrauterine adhesions.

Cholecystoduodenal fistula is the complication of gallstone and it is difficult to diagnose this condition preoperatively, which is the reason for conversion of laparoscopic to open cholecystectomy. Earlier laparoscopic cholecystectomy was considered unsuitable for such difficult bilioenteric procedures. The laparoscope is fast becoming an important tool for the general surgeon, it make us capable of handling the unforeseen events. This review article is to demonstrate the cholecystoduodenal fistula is not the contraindication for the laparoscopy, now it can be performed without higher rate of risk with the innovation of better modalities available.⁵ The goal of study is to introduce the proper awareness in laparoscopic surgeons regarding the feasibility and safety of the procedure.

Single incision laparoscopic surgery (SILS) has become an advancement in minimal acess surgery because it offers benefits like less postoperative pain, less invasive and has best cosmetic results. Even though the amount of time taken for SILS surgery is more, this can be brought down by experience and more advances on the type of instruments used. We are going to review different types of SILS ports available in the world today.

Articles of relevant studies are searched from the internet using Google, PubMed, Yahoo, HighWire press, SpringerLink, etc. available at world laparoscopic hospital.

The main aim of this review is to evaluate different types of SILS ports and their effectiveness in safe laparoscopic surgeries. To know if they offer any less postoperative pain and best cosmetic results than the multiple trocar surgeries, and to know the best SILS port.

Whatever might be the choice of single incision laparoscopic surgery or procedure, the best choice of port depends on many factors like choice of the surgeon, skill of the surgeon, availability of ports, operative time of the procedure and cost effectiveness. To know this, we need more controlled randomized studies on different types of SILS ports in single procedure. We cannot pinpoint which might be the best port for SILS at this point of time.

Esophageal cancer is one of the major public health problems worldwide. Different methods of minimally invasive esophagectomy (MIE) have been described, and they represent a safe alternative for the surgical management of esophageal cancer in selected centres with high volume and expertise in them. The procedural goal is to decrease the high overall morbidity of a traditional open esophageal resection.

This article reviews the most recent and largest series evaluation of MIE techniques.

A literature search performed using search engines Google, HighWire press, SpringerLink, and Yahoo. Selected papers are screened for other related reports.

Though MIE requires greater expertise and a long learning curve, once technique has been mastered it greatly reduces the postoperative morbidity and mortality to a significant extent. There was not much difference in average operating time compared to open surgery but bleeding was less in MIE. Mean hospital stay was similar to open surgery. There was no significant difference in number and location of lymph nodes harvested.

The current review shows that MIE with its decreased blood loss, minimal cardiopulmonary complications and decreased morbidity and oncological adequacy, represents a safe and effective alternative for the treatment of esophageal carcinoma.

To explore the positive and negative aspects of above two procedures in order to find out the better option.