Open vs Laparoscopic Surgery

The differences between open vs laparoscopic surgery are explained.

Duodenal Switch can be performed open (traditional) or laparoscopic. Open surgery requires a 6 to 8 inch incision to open the abdomen for the operation. In laparoscopic surgery, by using multiple small incisions, a camera is used to view the abdomen and small instruments are used to perform the surgery through the incision points.

Although open surgeries are still very common, many surgeons now perform the less invasive laparoscopic procedure. Some surgeons choose to perform their surgeries traditionally based on preference.

Keep in mind there are times when on the table, due to complications or difficulties, a laparoscopic procedure can become an open one. Regardless of which way the abdominal cavity is entered weight loss and improvements in quality of life are equivalent between the approaches in long term outcomes. [33-34]

Laparoscopic approach is not suitable for all patients. Patients, who are extremely obese, have had previous abdominal surgery or have complicating medical conditions may be required to have their surgery performed open.

Laparoscopic Advantages [23-28]

• Less postoperative pain
  
• Briefer hospital stay
  
• More rapid postoperative recovery with comparable efficacy
  
• Fewer wound complications (wound infections, dehiscence, incisional hernias)

Laparoscopic Complications [29-32]

• Higher rates of postoperative bowel obstruction.

You can discuss the pros and cons of each type of procedure with a number of surgeons before making your final decision.