 Hi, I am Dr. Lohanth. I am a surgical gastroenterologist and a J. Aumkar surgeon from Manipa Hospital, Sajapurot. Today I will be speaking about advanced laparoscopic surgery which is done in Manipa Hospital, Sajapurot. To introduce laparoscopic surgery is also known as keyhole surgery. What it means is basically a small cut is placed on the abdominal wall to access the abdomen and its organs. We use specialized instruments called ports through which small instruments like 3M instruments are placed into it to do the surgery. We require high end camera and instruments to do the procedure which is available in the hospital. There are multiple indications for the surgery in laparoscopy. A simple surgery which includes appendix, gallbladder, honey and surgeries are routinely done in our hospital. More complex surgeries which includes cancer surgeries are more frequently done off late. The advantages are plenty. Before we go ahead we would like to introduce about the number of surgeries, cancer surgeries which were available in the hospital. We do colorectal cancers which includes large bowled cancers which are routinely done in the hospital through laparoscoping which is also called minimal invasive surgery. Followed by liver cancer surgeries, pancreatic surgery, gallbladder cancer surgeries and many of such. There are bariatric surgeries which are done in minimal invasive of late which is basically a weight loss surgery which can be done through laparoscopy. The multiple advantages which includes in laparoscopic surgery are because of the axis being very small as I said there is a key over the surgery. Pain of surgery is very minimal. Hence the recovery is much faster. So simple surgeries are based like gallbladder surgery, hernia surgeries and appendicular surgeries are done as J.K. processors which means the patient can come early in the morning, get the surgery done and by end of the day they can be discharged. Whereas more complex surgeries like cancer surgeries, bariatric surgeries though frequent in the past they used to be done in open surgeries like 10-15 cm of cut used to be placed on the abdomen, re-drying the recovery. Hence the patient would have stayed for 4-5 days in the hospital but because of more advanced laparoscopic surgeries with more advanced instruments, the patient's recovery is much faster. The recovery reduces even by 50% by day 2 or day 3 when they fit to go even after complex cancer surgeries. Other advantages include faster, lesser blood loss. As we understand the more they cut the bigger the blood loss would be because of laparoscoping the blood loss is much lesser and the recovery is much faster. And surgery associated complications especially wound related complications like wound infections, hernia formation are much higher in open surgeries which are much lower and compared to in laparoscopic surgery. So these are the most common surgeries which we do in our hospital and these are the advantages of laparoscopic surgery which is available in many parts of the hospital. Thank you.