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Umbilical center insertion method for initial trocar placement in pediatric laparoscopic surgery
Tatsuo Nakaoka1, Sadashige Uemura, Tatsuyuki Yoshida
1Department of Pediatric Surgery, Osaka City General Hospital, 2-13-22 Miyakojimahondori, Miyakojima-ku, Osaka 534-0021, Japan. t-nakaoka@hospital.city.osaka.jp
Osaka City Medical Journal
|April 7, 2011
Summary
A new umbilical center insertion method (UCM) for pediatric laparoscopic surgery is safe and effective. This technique reduces surgical time and improves cosmetic outcomes compared to traditional methods.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Traditional open laparotomy for initial trocar insertion in pediatric laparoscopy is safe but time-consuming.
- It often requires additional sutures for anchoring and preventing air leakage, impacting cosmetic results.
Purpose of the Study:
- To introduce and evaluate a novel umbilical center incision technique (UCM) for initial trocar insertion.
- To assess UCM's efficacy in reducing surgical duration and improving esthetic appearance in pediatric patients.
Main Methods:
- The umbilical center insertion method (UCM) was applied to 431 pediatric patients across two surgical departments.
- Exclusion criteria included suspected umbilical lesions (excluding umbilical hernia) and extensive bowel adhesions.
Main Results:
- No complications were reported with the UCM technique.
- Pneumoperitoneum was achieved in nearly all patients within one minute.
- Wound healing was esthetically satisfactory, with scars concealed within the umbilical ring.
Conclusions:
- The umbilical center insertion method (UCM) is a safe, easy, and acceptable approach for initial trocar insertion in pediatric laparoscopic surgery.
- UCM offers significant advantages in terms of surgical efficiency and cosmetic outcome.
