Complications of Laparoscopic Surgery

Laparoscopic cholecystectomy and appendicectomy remains one of the most common laparoscopic surgeries being performed worldover in the present era. The advantages of laparoscopic surgery over open surgery has already been proven. Since the first documented laparoscopic cholecystectomy by Prof Muhe in 1985 , over the years it has become the gold standard for cholecystectomy. The advantages of laparoscopic surgery has been questioned recently due to reports of some complications inherent to the approach. These complications may be due to • Induction of pneumoperitoneum • Insertion of trocars • Use of thermal instruments • Lack of experience and expertise. Complications like bowel perforation and vascular injury may not be recognised intraoperatively and are the main cause of procedure specific morbidity and mortality related to laparoscopic surgery.