976 A Cost-Effective Wireless Laparoscopic Camera System for Enhanced Utilisation of Minimal Access Surgeries in Developing Countries

Aim This study addresses the limited availability of laparoscopic surgery in resource-constrained settings like Sri Lanka, primarily due to cost and instrumentation complexity. The aim is to develop a cost-effective method by replacing the monitor and video processor units of the Standard Laparoscopic Stack System with a wireless digital camera. Method At a tertiary care centre in Sri Lanka, a team designed a metal adapter capable of holding a wireless digital camera with an adjusted focal length. The camera was mounted on the laparoscope using this adapter, and the study evaluated image resolution, system flexibility through testing in a dummy and a live patient and cost analysis was also done comparing our system with the Standard Laparoscopic Stack System. Results The new system achieved an outstanding cost reduction of 98.7% compared to the existing setup. The live images produced were of comparable quality, demonstrating the feasibility and effectiveness of the modified camera system. The approach ensures that while achieving substantial cost savings, there is no compromise in the quality of diagnostic laparoscopic and cystoscopic surgery. Conclusions The newly developed wireless system, featuring an innovative adapter and modified camera, proves to be a practical and cost-effective alternative to the traditional Standard laparoscopic Stack System. Beyond significant cost reductions, this innovation simplifies the laparoscopic setup, enhancing flexibility and manoeuvrability during surgeries. The wireless design not only overcomes financial barriers but also revolutionizes the accessibility and usability of laparoscopic procedures in resource-limited healthcare environments.