Fundamentals of Basic Laparoscopic Setup

  • Marc Rafols
  • Navid Ajabshir
  • Kfir Ben-DavidEmail author


The advent of laparoscopic surgery has revolutionized the field of general surgery. This chapter will cover the basic setup laparoscopic surgery, ranging from equipment and setup to troubleshooting as well as reviewing a variety of common laparoscopic surgical approaches. While each patient and each surgery are unique, a working knowledge of the common features will help ensure the safest possible outcome for the patient.


Laparoscopy Laparoscopic equipment Pneumoperitoneum 


  1. 1.
    Spaner SJ, Warnock GL. A brief history of endoscopy, laparoscopy, and laparoscopic surgery. J Laparoendosc Adv Surg Tech A. 1997;7(6):369–73.CrossRefPubMedGoogle Scholar
  2. 2.
    Nezhat C, Nezhat C, Nezhat F. Nezhat’s video-assisted and robotic-assisted laparoscopy and hysteroscopy. Cambridge: Cambridge University Press; 2013. p. 1–6.Google Scholar
  3. 3.
    Schwartz SI, Charles Brunicardi F, Andersen DK. Schwartz’s principles of surgery. New York: McGraw-Hill Education; 2015.Google Scholar
  4. 4.
    Fleshman JW, Fowler DL, Whelan RL. The SAGES manual of perioperative care in minimally invasive surgery. New York: Springer; 2006. p. 25–32.Google Scholar
  5. 5.
    Grabowski JE, Talamini MA. Physiological effects of pneumoperitoneum. J Gastrointest Surg. 2009;13:1009. Scholar
  6. 6.
    Hazebroek EJ, de Vos tot Nederveen Cappel R, Gommers D, et al. Antidiuretic hormone release during laparoscopic donor nephrectomy. Arch Surg. 2002;137:600. Discussion 605.CrossRefPubMedGoogle Scholar
  7. 7.
    Sackier JM, Nibhanupudy B. The pneumoperitoneum-physiology and complications. In: Toouli JG, Gossot D, Hunter JG, editors. Endosurgery. New York: Churchill-Livingstone; 1996. p. 155.Google Scholar
  8. 8.
    Rivas H, Varela E, Scott D. Single-incision laparoscopic cholecystectomy: initial evaluation of a large series of patients. Surg Endosc. 2009;24(6):1403–12.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Antoniou SA, Pointner R, Granderath FA. Single-incision laparoscopic cholecystectomy: a systematic review. Surg Endosc. 2011;25(1):367–77.CrossRefPubMedGoogle Scholar
  10. 10.
    Evers L, Bouvy N, Branje D, Peeters A. Single- incision laparoscopic cholecystectomy versus conventional four-port laparoscopic cholecystectomy: a systematic review and meta-analysis. Surg Endosc. 2016;31(9):3437–48.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Gupta P, Bhartia V. Hand-assisted laparoscopic surgery using Gelport. J Minim Access Surg. 2005;1(3):110. Scholar
  12. 12.
    Marcello PW, Fleshman JW, Milsom JW, et al. Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective randomized trial. Dis Colon Rectum. 2008;51(6):818–26.CrossRefPubMedGoogle Scholar
  13. 13.
    Holzheimer RG. Laparoscopic procedures as a risk factor of deep venous thrombosis, superficial ascending thrombophlebitis and pulmonary embolism—a case report and review of the literature. Eur J Med Res. 2004;9(9):417–22.PubMedGoogle Scholar
  14. 14.
    SAGES. Guidelines for diagnosis, treatment and use of laparoscopy for surgical problems during pregnancy. Surg Endosc. 2007;5(11):3479–92.Google Scholar
  15. 15.
    Glasgow R, Visser B, Harris H, Patti M, Kilpatrick S, Mulvihill S. Changing management of gallstone disease during pregnancy. Surg Endosc. 1998;12(3):241–6.CrossRefPubMedGoogle Scholar
  16. 16.
    O’rourke N, Kodali B-S. Laparoscopic surgery during pregnancy. Curr Opin Anaesthesiol. 2006;19(3):254–9.CrossRefPubMedGoogle Scholar
  17. 17.
    Snow V, Qaseem A, Barry P, American College of Physicians, American Academy of Family Physicians Panel on Deep Venous Thrombosis/Pulmonary Embolism, et al. Management of venous thrombo-embolism: a clinical practice guideline from the American College of Physicians and the American Academy of Family Physicians. Ann Intern Med. 2007;146(3):204–10.CrossRefPubMedGoogle Scholar
  18. 18.
    Sharma A, Dahiya D, Kaman L, Saini V, Behera A. Effect of various pneumoperitoneum pressures on femoral vein hemodynamics during laparoscopic cholecystectomy. Updat Surg. 2016;68(2):163–9.CrossRefGoogle Scholar
  19. 19.
    Chesney T, Acuna SA. Do elderly patients have the most to gain from laparoscopic surgery? Ann Med Surg. 2015;4(3):321–3.CrossRefGoogle Scholar
  20. 20.
    Donatsky AM, Bjerrum F, Gögenur I. Surgical techniques to minimize shoulder pain after laparoscopic cholecystectomy. A systematic review. Surg Endosc. 2013;27(7):2275–82.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Mount Sinai Medical Center, Comprehensive Cancer CenterMiami BeachUSA

Personalised recommendations