Is the Laparotomy Here to Stay? A Review of the Disadvantages of Laparoscopy

This review examines the limitations and risks of laparoscopic and thoracoscopic procedures in pediatric patients, including neonates. While minimally invasive techniques offer benefits like reduced pain and shorter hospital stays, surgeons must consider complications such as hypercarbia, hypothermia, air embolism, longer operative times, and increased costs when selecting surgical approaches for children.