Understanding keyhole surgery

Written in association with: Professor Giuseppe Fusai
Published: | Updated: 20/08/2024
Edited by: Conor Lynch

Keyhole surgery, also known as minimally invasive surgery (MIS), is a modern surgical technique that allows doctors to perform operations through small incisions rather than large openings. This innovative approach has transformed the field of surgery, offering numerous benefits to patients. Here to explain more is esteemed consultant hepato-pancreato-biliary surgeon, Professor Giuseppe Fusai

 

How it works

During keyhole surgery, surgeons use a small camera called a laparoscope, which is inserted through a tiny incision. This camera provides a magnified view of the internal organs on a monitor, allowing the surgeon to navigate and operate with precision. Additional small incisions may be made to insert specialised surgical instruments. This technique is commonly used in various procedures, including gallbladder removal, hernia repairs, and even some types of heart surgery.

 

Benefits of keyhole surgery

One of the most significant advantages of keyhole surgery is the reduced recovery time. Patients typically experience less pain and scarring compared to traditional open surgery. Many can return to their normal activities within days rather than weeks. Additionally, the smaller incisions lead to a lower risk of infection and complications, making it a safer option for many individuals.

 

Applications in medicine

Keyhole surgery is widely used across various medical fields. In gynaecology, it is often employed for procedures like hysterectomies and ovarian cyst removals. In orthopaedics, surgeons use it for joint repairs and reconstructions. The versatility of this technique continues to expand as technology advances, allowing for more complex surgeries to be performed with minimal invasiveness.

By Professor Giuseppe Fusai
Surgery

Professor Giuseppe Fusai is a consultant hepato-pancreato-biliary-surgeon who specialises in liver resection, whipple pancreato-duodenectomy and distal and total pancreato-duodenectomy, alongside decompressive pancreatic surgery for chronic pancreatitis, biliary reconstruction and laparoscopic cholecystectomies. He privately practices at The Wellington Hospital, which is part of HCA Healthcare UK, and is a consultant surgeon on the Liver Unit at the Royal Free Hospital NHS Trust. 

With over 30 years' experience and a perioperative mortality rate lower than both the national and international standard, he is one of the leading surgeons in his field and his skills are highly valued and recognised. His excellent record includes more than 800 major complex surgical procedures on the liver, pancreas, and biliary tract, and over 2000 laparoscopic cholecystectomies. 

He has a special interest in liver metastases, pancreatic cancer, and onocological surgery. He has led several international projects and trials, and is well-published, with numerous peer-reviewed publications to his name. Professor Fusai is an honorary senior lecturer at University College London.

He is a member of various professional organisations including the Association of Surgeons of Great Britain & Ireland, the Association of Upper GI Surgeons of Great Britain and Ireland and the European Society of Surgical Oncology. He's also a member of I-HBA and E-AHPBA, the UK and European NET Society and a member of the Pancreatic Society of UK & Ireland.

Professor Fusai is also a fellow of the Royal College of Surgeons of Edinburgh and a fellow of the Italian College of Surgeons.   

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