A Simple Open Entry Technique for the Initial Trocar in Laparoscopic Surgery
Abstract
The insertion of the first trocar is one of the most important steps in laparoscopic surgery. Abdominal entry phase in laparoscopic surgery may
result in some fatal complications, especially when a Veress needle or a trocar is inserted blindly. Complications during initial entry can determine
the course of operation. Furthermore, first trocar entry with traditional open technique is compromised by the leakage of gas and can be time
consuming. Recently, we use an easy and safety first trocar insertion technique during laparoscopic surgery. In this paper, we aimed to present this
simple open technique
Keywords
First Trocar İnsertion, Laparoscopy, Open Trocar Entry Technique
References
- 1. Ahmad G, Gent D, Henderson D, et al. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2015;31;8:CD006583.
- 2. Simforoosh N, Basiri A, Ziaee SA, et al. Major vascular injury in laparoscopic urology. JSLS 2014;18.
- 3. Pryor KP, HurdWW. Modified open laparoscopy using a 5- mm laparoscope. Obstet Gynecol. 2016;127:535-538.
- 4. Zaraca F, Catarci M, Gossetti F, et al. Routine use of open laparoscopy: 1,006 consecutive cases. J Laparoendosc Adv Surg Technol. 1999;9:75-80.
- 5. Kassir R, Blanc P, Lointier P, et al. Laparoscopic entry techniques in obese patient: Veress needle, direct trocar insertion or open-entry technique? Obes Surg. 2014;24:2193-2194.
- 6. Vilos GA. The ABCs of a safer laparoscopic entry. J Minim Invasive Gynecol. 2006;13:249-251.
- 7. Jiang X, Anderson C, Schnatz PF. The safety of direct trocar versus Veress needle for laparoscopic entry: a meta-analysis of randomized clinical trials.öJ Laparoendosc Adv Surg Tech A. 2012;22:362-70.
- 8. Uranues S, Ozkan OV, Tomasch G. Safe and easy access technique for the first trocar in laparoscopic surgery. Langenbecks Arch Surg. 2016;401:909- 912.
- 9. Carlson WH, Tully G, Rajguru A, Burnett DR, Rendon RA. Cameraless peritoneal entry in abdominal laparoscopy. J Soc Laparoendosc Surg. 2012;16:559-563.
- 10. Angioli R, Terranova C, De Cicco NC, et al. A comparison of three different entry techniques in gynecological laparoscopic surgery: a randomized prospective trial. Eur J Obstet Gynecol Reprod Biol. 2013;171:339-342.