Laparoscopic Surgery: Open Entry Does Not Reduce Complications

Abstract

Complications of laparoscopic surgery, which fortunately are rare, usually occur upon entry into the abdominal cavity. Trocar insertion after creation of a pneumoperitoneum with a Veress needle (i.e., the closed technique) is thought to cause more injuries than trocar insertion after peritoneal incision under direct vision (i.e., the open technique); however, no data exist to verify this …