Minimally Invasive Approaches in Abdominal Surgery: Outcomes, Complications and Patient Quality of Life.
Main Article Content
Abstract
Minimally invasive approaches have revolutionized abdominal surgery, minimizing surgical trauma, optimizing recovery and improving outcomes. We reviewed the available evidence on minimally invasive approaches to abdominal surgery with a focus on clinical outcomes and complication rates and the effect on quality of life. An a priori systematic review of literature in keeping with PRISMA guidelines was conducted. Electronic databases (PubMed, Scopus, Web of Science, Cochrane Library) from the onset of January 2014 and through December 2025 were searched, using appropriate search terms. Studies which compared minimally invasive surgical and open surgical techniques in abdominal procedures were included. A total of 1389 records were screened and 44 studies were included. Minimally invasive approaches lessen intraoperative blood loss, decrease postoperative pain, shorten length of stay and facilitate faster recovery as compared to open surgical alternatives. Complication rates are generally lower or at least comparable, although certain procedures involve advanced surgical skills. Patients report improved quality of life and an earlier return to normal activities.