In a prospective randomized study on 50 patients undergoing laparoscop
ic surgery, the safety and feasibility of open access laparoscopy was
analyzed and compared to the closed Veress needle technique. Open acce
ss laparoscopic surgery was performed in half the time needed for the
Veress needle technique with equal safety and without complications or
technical disadvantages. Furthermore, open access offers economical a
dvantages, as disposable trocars are no longer needed. Therefore the o
pen access technique is recommended as the standard for laparoscopic o
perations.