Table 3

Open and laparoscopy surgery-related factors and consequences of the surgical treatment of diseases in the abdominal and pelvic cavities

Factors

Laparotomy

Laparoscopy


Procedures

Midline incision

Extension of the midline incision

Direct hand-manipulations

Trocar or port sites

CO2 pneumoperitoneum

Indirect hand-manipulations


Intrasurgical

damaging factors

Tissue drying

Severe trauma

Severe ischemia

Accumulation of foreign bodies

The possibility of bacterial contamination

CO2 pneumoperitoneum-related local and systemic effects: blood gas, acid base balance parameters changes, blood circulatory in large vessels and parenchymatous organs in the abdominal and pelvic cavities


Consequences

Painful slow recovery

High morbidity

Long hospitalization

A big scar

Less painful fast recovery

Low morbidity

Short hospitalization

Small scars


Pismensky et al. BMC Surgery 2011 11:30   doi:10.1186/1471-2482-11-30

Open Data