15/05/2026
Keyhole vs Open Surgery: What’s the Difference for Children?
Many parents hear the terms “open surgery” and “laparoscopic surgery” but are not always sure what the actual difference is.
The main difference is how we reach the area being operated on.
Open surgery requires a larger cut through:
- Skin
- Fat
- Muscle
Laparoscopic (keyhole) surgery uses:
- A small camera
- Tiny instruments
- Usually just 3 very small openings
With keyhole surgery, the instruments pass through small ports, which gently spread the muscle instead of cutting through it. This is important because muscle cutting is one of the main reasons open surgery can be more painful.
For children, this often means:
- Less pain
- Faster movement after surgery
- Faster recovery
- Shorter hospital stay
- Smaller scars
In many cases, children who have laparoscopic surgery are already walking around and going home within a day.
Whenever minimally invasive surgery is suitable, it can make the whole experience much easier for both child and parent.
Watch this video to understand the difference between open and keyhole surgery, and why recovery is often faster with laparoscopic procedures.
I’m Dr Nada Sudhakaran, a paediatric surgeon specialising in laparoscopic and thoracoscopic (keyhole) surgery for children at Pantai Hospital Kuala Lumpur and Assunta Hospital Petaling Jaya (Malaysia).
If this helped you better understand your child’s surgery options, like and share it with other parents.
For more help visit: https://www.drnadachildsurgeon.com/