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Minimally Invasive Surgery

Special Focus on Easing the Impact of Surgery:
Leading program for improving the surgery experience

Luca Giordano, MD, FACS
Clinical Assistant Professor of Surgery, Jefferson Medical College, Thomas Jefferson University
Head of the Section on Minimally Invasive Surgery
Director of Bariatric Surgery


Dr. Giordano performs bariatric surgery and single-incision laparoscopy.  He specializes in laparoscopic surgery for the following procedures: colon resection; bariatric surgery; gastric resection; adrenalectomy; splenectomy; pancreatectomy; lysis of adhesions; Nissen fundoplication for gastro-esophageal reflux; hiatal hernia repair; super-selective vagotomy; inguinal hernia repair; ventral hernia repair; cholecystectomy; appendectomy.  Learn more.  Dr. Giordano also offers transgastric surgery.  Learn more.

Aria minimally invasive team removes gallbladder through single laparoscopic incision: First in its NorthEast Philadelphia community.
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Learn more.


In the 21st century, surgery should be easier and faster – and quicker to recover from.  Aria provides leading surgeons in the field of minimally invasive surgery who are helping to achieve these goals.  

Throughout Aria’s Department of Surgery, specialists take advantage of special techniques to reduce the impact of surgery and make the experience of surgery less disruptive.  Especially in Aria’s Division of General Surgery, surgeons emphasize approaches to common operations that involve smaller incisions, less damage to tissue surrounding the surgical site, and shorter hospital stays. 

In particular, general surgeons in the division’s Section on Minimally Invasive Surgery conduct a variety of operations using minimally invasive techniques.  The advanced approaches help patients to successful treatment, faster healing, and more rapid return to work, play, and activities of daily living.

What types of operations are available with minimally invasive surgery?

Aria’s Division of General Surgery has helped to lead the way in its community in offering minimally invasive surgery.  Learn about the laparoscopic and other endoscopic options that Aria has made available to its patients in recent years.

Also: Minimally invasive weight-loss surgery.  See Aria’s patient brochure for its expanded program in bariatric (weight-loss) services

What is minimally invasive surgery?
Minimally invasive surgery techniques seek to reduce the amount of trauma associated with surgical operations.  This major movement in surgery in recent years has sought to achieve optimal surgical results with as little intrusion to the body and disturbance to the surgical site as possible.

To achieve this goal, surgeons use smaller surgical openings and smaller surgical tools that permit them to minimize the size of the incisions needed for access and that allow them to lessen or remove the need to reach the sites directly by hand.  Technology is very important in this surgical strategy, and minimally invasive surgery teams – especially in the realm of general surgery – now make extensive use of endoscopes and supporting surgical equipment for this purpose.  

Endoscopes used in the abdomen and pelvis are called laparoscopes.  With these optical devices, the surgeon can observe surgical targets through very small incisions and can operate on them using thin surgical tools introduced through ports in the same or same type of surgical opening.  The surgeon can move, manipulate, cut, resect, remove, cauterize, and suture organs and tissue areas without ever placing a finger within the body.

What are the advantages?

Because minimally invasive surgery causes the least amount of injury to the body while accomplishing surgical objectives, patients recover from it much faster.  Hospital stays are often shorter and postoperative care is reduced.  Soreness and pain are less, and scarring is minimized or absent.  

Patients heal faster – usually with less chance of adhesions, wound infection, or incisional problems, thus reducing the chance of complications.  And, they return to the activities of their normal lives faster.

Look for an experienced center
For a center to provide first-rate minimally invasive surgery services, the preparation and experience of its surgical teams, and the facilities and equipment available to them, are very important.  Technology and know-how have advanced quickly in this field in recent years and practiced skills are important.  

Aria’s program offers exactly this high level of commitment, investment, and quality needed to deliver the latest minimally invasive operations.  Surgical interventions of this kind achieve successful treatment and better patient experiences.