**Core Concept**
Insufflation pressure during laparoscopy is a critical parameter that needs to be carefully managed to prevent complications such as abdominal wall gas embolism, respiratory compromise, and decreased venous return. The ideal insufflation pressure is a balance between ensuring adequate visualization and minimizing the risks associated with increased intra-abdominal pressure.

**Why the Correct Answer is Right**
The correct insufflation pressure during laparoscopy is typically between 11-15 mm Hg. This range allows for adequate visualization of the intra-abdominal organs without causing significant increases in intra-abdominal pressure. At pressures above 15 mm Hg, the risk of complications such as abdominal wall gas embolism, respiratory compromise, and decreased venous return increases. The ideal insufflation pressure is often determined by the patient's age, body mass index (BMI), and underlying medical conditions.

**Why Each Wrong Option is Incorrect**
**Option A:** Insufflation pressures between 5-10 mm Hg may not provide adequate visualization of the intra-abdominal organs, especially in patients with large abdominal cavities or those undergoing complex laparoscopic procedures.
**Option C:** Pressures above 15 mm Hg increase the risk of complications such as abdominal wall gas embolism, respiratory compromise, and decreased venous return.
**Option D:** Pressures above 20 mm Hg are generally not recommended as they can lead to significant increases in intra-abdominal pressure, compromising venous return and increasing the risk of respiratory complications.

**Clinical Pearl / High-Yield Fact**
It is essential to monitor the patient's vital signs, including blood pressure, heart rate, and oxygen saturation, during laparoscopy to ensure that the insufflation pressure is not causing undue stress on the cardiovascular system. A sudden increase in insufflation pressure can lead to a significant decrease in venous return, resulting in hypotension and decreased oxygen delivery to tissues.

✓ Correct Answer: B. 11-15 mm Hg.