Open |
Fully exposed surgical siteDirect access to structures and organsAffordablePervasiveWidest variety of operationsFor morbidly obese patientsFor patients with prior operationsFor patients with multiple adhesions |
Large incisionPainful recoveryLengthy healing processProlonged hospital staysHigher infection ratesLarge scar and disfigurement |
Laparoscopic |
AffordablePervasiveShorter hospital staysReduced postoperative painLower incidence of wound infectionsGreatly enhanced cosmetic outcomesImproved patient outcomes |
Limited dexterityLoss of depth perceptionRisk of camera instabilityRisk of port placementAwkward movement of instrumentsFulcrum effectPoor ergonomicsFatigueReversed image can cause miscommunicationNot for morbidly obese patients |
Robotic-Assisted |
Greater dexterityElimination of hand tremorElimination of fulcrum effectEnhanced depth perceptionCamera stabilityImproved surgeon ergonomicsIncreased accuracyScalable motionsPotential for micro-anastomosesPotential for telesurgeryShorter hospital staysReduced postoperative painLower incidence of wound infectionsGreatly enhanced cosmetic outcomesImproved patient outcomes |
High cost (purchase, upgrade, maintenance)Long surgeon training timeLong set-up timeBulkiness of equipmentLack of tactile and force feedbackRisk of malfunction or failureRisk of port placementPatient safety during emergencyRequires additional staff trainingNot for morbidly obese patients |