Is laparoscopic surgery always better than open surgery?
Laparoscopy can mean smaller incisions, less pain and faster recovery for suitable operations, but is not best for every patient or procedure. Disease, previous surgery, complexity, general health and team experience determine the appropriate approach.
Details
Why might open surgery be chosen?
Complex disease, access, bleeding control or adhesions may require an open approach. Surgery can start laparoscopically and convert to open surgery for safety; conversion alone does not mean an error occurred.
Discuss possibilities beforehand
Ask about the purpose, alternatives, possible conversion, hospital stay and recovery. Tell the team about anticoagulants, diabetes and all medicines, and follow the agreed plan. Do not stop chronic treatment because an operation is described as minor.
Watch for complications with either approach
Infection, bleeding, organ injury or clots can occur after different kinds of surgery. Promptly report increasing pain, fever or persistent vomiting. Severe breathlessness, chest pain or fainting requires emergency care.
Related reading: How do gastric sleeve and gastric bypass differ, and which is suitable?.