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 |