Conversion of the laparoscopic approach

Nowadays the query of surgical exposure conversion has become actual again, because of that there are lots of surgeons who are highly efficient in laparoscopic operations, but have a lack of experience in traditional open surgery. Such situation is the reason for subconscious withdrawal of exposure conversion. At that, to gain the necessary experience for consistent performance of traditional surgical operations nowadays is rather difficult, especially in modern clinics, where essentially laparoscopic operations are performed. The author’s opinion is that this problem could be solved by the study of results of more experienced colleagues, who is more successful in traditional open surgery, also it can be accomplished by training on adequate training equipment, such as surgical simulators and mockups. However, indications for conversion should be connected not only with experience of the surgeon, but also with degree of management of this concrete surgical procedure, the level of equipment supply and availability of the efficient assistants. Author suggests the fully satisfactory protocol of conversion from the laparoscopic procedure to the open one.