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Laparoscopic cholecystectomy and the "soft trocar".
H Kawahara1, O Tsumura, K Kubouchi
1Surgical Division, Kawasaki City Ida Hospital, Kanagawa, Japan.
Surgical Laparoscopy & Endoscopy
|December 1, 1991
Summary
A novel soft trocar made of silicon enables curved instruments for laparoscopic surgery. This device showed no complications in 18 patients undergoing cholecystectomy, offering a potentially less traumatic alternative.
Area of Science:
- Minimally Invasive Surgery
- Surgical Device Innovation
- Gastrointestinal Surgery
Background:
- Laparoscopic surgery utilizes trocars for instrument insertion.
- Standard trocars can limit instrument maneuverability and potentially cause trauma.
- Development of novel surgical tools is crucial for improving laparoscopic procedures.
Purpose of the Study:
- To introduce and evaluate a new soft trocar for laparoscopic surgery.
- To assess the safety and utility of the soft trocar in laparoscopic cholecystectomy.
- To explore the advantages of the soft trocar over standard trocars.
Main Methods:
- A novel soft trocar constructed from silicon with a flexible sleeve was developed.
- Eighteen patients underwent laparoscopic cholecystectomy utilizing the soft trocar.
- Clinical outcomes and complications associated with the soft trocar were recorded.
Main Results:
- The soft trocar facilitated the insertion of curved instruments.
- No complications were reported in any of the 18 patients during or after the procedure.
- The soft trocar demonstrated radiolucency and potential for reduced tissue trauma.
Conclusions:
- The soft trocar is a safe and effective device for laparoscopic cholecystectomy.
- Its flexible design allows for enhanced instrument articulation.
- The soft trocar presents a promising, less traumatic alternative to conventional trocars in abdominal surgery.