36. Advanced laparoscopic techniques

Dissection is the separation of tissues and fascial structures with parallel maintenance of hemostasis. The basic principles of laparoscopic dissection are adequate tissue tension, knowledge of anatomical avascular planes, sufficient exposure, and thorough hemostasis. There are several types of dissection used in laparoscopic surgery, among which blunt dissection and sharp dissection can be distinguished. Any method has both positive and negative sides, which determines the need for an integrated approach to their use, taking into account the specifics of the operation.