[Evolution of operative approach in abdominal surgery]

The severity of postoperative course after surgery of abdominal organs in the majority of cases depends rather on the length of the incision of anterior abdominal wall that on the extent of surgical manipulations directly on the viscera. Various methods of low invasive surgical procedures possess not only undeniable advantages in comparison with routine surgical technique, but also some defects. Combination of laparoscopic technique and surgical operation from mini-approach permits to avoid disadvantages characteristic to each of them. Assisted low-invasive operations could be successfully used on many organs of abdominal cavity.