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There is a risk of puncturing an organ, which could cause leakage of intestinal contents, or bleeding into the abdominal cavity. This often happens when the doctor switches from laparoscopy to an open surgical procedure. Severe injury may result in infection or the need for blood transfusion.
Your ability to have laparoscopic surgery may be limited by previous abdominal surgery. Often surgery makes scars form, which prevents the safe passage of the instruments into the abdomen. It may also prevent the abdominal wall from being properly lifted by the gas.
For complex laparoscopic operations, patients should consult with their doctor to find the best center for the specific operation.
Townsend CM, Beauchamp RD, Evers BM, Mattox KL, Sabiston Textbook of Surgery, 17th ed. St. Louis, Mo: WB Saunders; 2004:445-464.