What is wrong with laparoscopic surgeries? Aren’t they good? Like the discovery of anesthesia, laparoscopic surgeries were one of the landmark innovations in making surgeries minimally invasive. However, there are few drawbacks. Namely: There is a very small but definite risk of complications that can be fatal. The carbon dioxide that is used causes several physiological changes that make anesthesia more complex and increase postoperative morbidity.

Several factors, like the need for general anesthesia, and the cost of the equipment and disposables or hand instruments make laparoscopic surgeries expensive. It has a steep learning curve. When and why were gasless laparoscopic surgeries started? In the late eighties and early nineties, Professor Hashimoto introduced the concept of gasless laparoscopic surgery to overcome some of the drawbacks of carbon dioxide usage. The early pioneers…