Indications for laparoscopic surgery have been extended in the last ten yea
rs. Patients with several organ failures may also benefit of such technique
. Therefore, it seems interesting to study and analyse the interactions bet
ween clinical status and the consequences of intraabdominal gas insufflatio
n. Because the postoperative benefits of laparoscopic surgery are notable,
this technique is more and more proposed to old patients. The only imperati
ve is to anticipate medical problems.