What is the difference between “open” and laparoscopic bariatric surgery?
Bariatric surgery may be performed through traditional “open” abdominal incisions, or laparoscopically through small incisions. With the laparoscopic approach, a camera is used to see inside of the abdomen, transmitting an image to a television monitor. The surgeon uses surgical instruments inserted through 1/2-inch incisions (cuts) to perform the operation. Most bariatric operations are performed laparoscopically because it is better for the patient. It creates less tissue damage, shortens hospital stays and reduces complications when compared to open surgery. However, laparoscopy is not right for all patients. Patients who are extremely obese, have had previous abdominal surgery, have complicating medical problems or have a complication during laparoscopic surgery may require the open approach.
