Gastrointestinal stapling device has made the G.I. Surgery quick and safe. Conventional staplers were introduced for the ‘first time’ in our country by me in 1981. With the introduction of endostapler Laparoscopic surgeons started performing complex G.I. surgeries. Colonic surgery for benign condition like ileocaecal tuberculosis has became a routine procedure for us. Even for diverticular diseases sigmoidectomy can be performed.  Rectal prolapse, Rectopexy are done by us with very good results.

For colorectal malignancy Lap colectomy (right or left or anterior resection) is routine for dedicated centers. In addition to other advantages is proved beyond doubt that there is less immuno suppression in Laparoscopic surgery. The fear of port site metastasis has been resolved with refined technique of isolation. All principles of open surgery are followed in Laparoscopic approach and no compromise is made as for no. of lymph node dissected and tumor free margin. Large prospective randomized trail (RCT) have demonstrated better result with Laparoscopic approach (Lacy Amernal Launch 2002; 359, -2224-29

Harmonic scalpel has made this surgery less time consuming and blood less and with experience the conversion to open surgery is considerably reduced.