Lift-(gasless) laparoscopic surgery under regional anesthesia

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Regional Anesthesia Techniques
• Laparoscopic Surgery

Background:

• Traditional laparoscopy often requires general anesthesia.
• Gasless laparoscopy offers an alternative to insufflation.
• Regional anesthesia is an option for patients who cannot undergo general anesthesia.

Purpose of the Study:

• To assess the feasibility and outcomes of gasless laparoscopy under regional anesthesia for gynecological conditions.
• To evaluate the safety and efficacy of the Lift system in this setting.

Main Methods:

• Prospective evaluation of 63 patients undergoing Lift-laparoscopic surgery.
• Procedures performed under regional anesthesia at three endoscopic gynecology centers.
• Patient cohort included diagnostic laparoscopy, ovarian tumor surgery, myomectomy, and hysterectomy.

Main Results:

• All 63 patients completed Lift-laparoscopy under regional anesthesia without conversion to general anesthesia.
• No perioperative or anesthesiologic complications were reported.
• Successful application across various gynecological procedures.

Conclusions:

• Gasless laparoscopy with the Lift system under regional anesthesia is a viable and safe alternative to general anesthesia for gynecological surgery.
• This technique is particularly recommended for elderly patients, those with cardiopulmonary risks, pregnant patients, or individuals with contraindications to general anesthesia.