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Safe creation of pneumoperitoneum using an optical trocar
K K Hallfeldt1, A Trupka, T Kalteis
1Chirurgische Klinik, Klinikum Innenstadt, Ludwig-Maximilians-Universität, Nussbaumstrasse 20, 80336 Munich, Germany.
Surgical Endoscopy
|March 5, 1999
Summary
Optical trocars offer a safe and easy alternative for initial laparoscopic surgery access. This method avoids complications associated with blind Veress needle or trocar insertion, especially in obese patients.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
Background:
- Blind insertion of Veress needles and trocars can lead to severe complications.
- Minilaparotomy is a common alternative but can be difficult and time-consuming, particularly in obese patients.
Purpose of the Study:
- To evaluate the safety and efficacy of optical trocars for initial laparoscopic access.
- To describe a preferred insertion technique for the Optiview trocar.
Main Methods:
- Prospective study involving 200 patients.
- Utilized the Optiview optical trocar for primary port placement.
- Detailed preferred insertion technique.
Main Results:
- Optical trocars were safely positioned under direct visualization.
- The Optiview trocar demonstrated ease of handling and safety in 200 patients.
- Offered advantages over traditional Veress needle and minilaparotomy techniques.
Conclusions:
- Optical trocars are a safe and effective method for laparoscopic surgery entry.
- Direct visualization via optical trocars simplifies trocar placement, especially in challenging cases like obesity.