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Experience with optical trocar in performing laparoscopic procedures.
J Barry McKernan1, Charles R Finley
1Department of Surgery, Advanced Surgery Center of Georgia, Canton, USA.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|April 12, 2002
Summary
The OPTIVIEW Optical Surgical Obturator allows safe, visually guided laparoscopic trocar entry without insufflation. This large study found trocar-related complications to be rare in 1187 patients undergoing various procedures.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Gastrointestinal Surgery
Background:
- Laparoscopic surgery often requires pneumoperitoneum for visualization.
- Trocar insertion is a critical step with potential for injury.
- Previous abdominal surgeries can complicate laparoscopic access.
Purpose of the Study:
- To evaluate the safety and efficacy of the OPTIVIEW Optical Surgical Obturator for laparoscopic procedures.
- To assess the incidence of trocar-related complications using this device.
- To determine the utility of visually guided trocar entry without insufflation.
Main Methods:
- A retrospective review of 1187 laparoscopic procedures using the OPTIVIEW Optical Surgical Obturator.
- Analysis of complication rates, including trocar-related injuries and late complications.
- Assessment of visualization and pneumoperitoneum achievement in diverse patient populations.
Main Results:
- Successful visualization and pneumoperitoneum were achieved in all 1187 patients.
- The overall complication rate was low at 0.3% (4/1187).
- Trocar-related injuries included two bowel injuries and one mesenteric injury, all repaired intraoperatively. One late incisional hernia was noted.
Conclusions:
- The OPTIVIEW Optical Surgical Obturator facilitates safe and effective laparoscopic surgery.
- Visually guided trocar entry without insufflation is associated with a low rate of complications.
- The device is suitable for patients with a history of prior abdominal surgeries.