Why is laparoscopic surgery often converted to an open approach?

Laparoscopic surgery may be converted to an open approach primarily to provide better exposure and visualization of the surgical field. In certain situations, laparoscopic techniques may not allow the surgeon to adequately see or access the anatomical structures that need to be treated. This is particularly true in complex cases where anatomy may be distorted due to disease, previous surgeries, or other factors.

By converting to an open technique, surgeons can gain full access to the abdominal cavity and improve their ability to visualize and manipulate the underlying tissues. This increased visibility can be crucial for ensuring that the procedure is performed safely and effectively, particularly in cases where there is a risk of complications or where precision is key to a successful outcome. Additionally, the open approach allows for easier management of complications should they arise, making it a prudent decision when the needs of the patient dictate such a change in strategy.