Advantages | Disadvantages |
---|---|
Less mobilization of the colon | Need of high skilled and trained in laparoscopic suturing surgeons |
No manipulation of abdominal organs, in order to reduce adhesions | Higher direct costs of intracorporeal instruments especially the stapler (if compared with extracorporeal) |
Shorter extraction site laparotomy, with clinical benefits (less pain and lower rates of wound infection) | Longer operative time (compared with extracorporeal anastomosis) with increased indirect cost and potential higher complication rates |
Reduced risk of unrecognized twisting of the terminal ileum mesentery, because of laparoscopic better view | Higher rate of local infections due to the peritoneal contamination of intra-abdominal entero/colotomy with spillage |