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Safe and easy access technique for the first trocar in laparoscopic surgery
Selman Uranues1, Orhan Veli Ozkan2, Gordana Tomasch3
1Department of Surgery, Medical University of Graz, Auenbruggerplatz 29, 8036, Graz, Austria.
Langenbeck'S Archives of Surgery
|July 10, 2016
Summary
Open trocar insertion is a safe and easy laparoscopic technique. This method reduces injury risk compared to blind puncture, proving beneficial even for obese patients.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Laparoscopy
Background:
- Access-related injuries are a significant concern in laparoscopic surgery, potentially increasing morbidity and mortality.
- A safe and straightforward technique for open insertion of the first trocar is presented.
Purpose of the Study:
- To detail a safe and easy technique for open insertion of the first trocar.
- To evaluate the safety and efficacy of open trocar insertion compared to blind puncture.
Main Methods:
- Prospective data collection and retrospective analysis of 2579 laparoscopic procedures over an 11-year period (January 2005 - December 2015).
- Routine use of open trocar insertion technique, primarily at the umbilicus but applicable to all insertion points.
Main Results:
- Open technique resulted in a lower incidence of accidental injuries (0.09%) compared to blind puncture (0.9%).
- Injuries associated with the open technique were less severe and immediately identifiable.
- No conversions to open surgery were required.
Conclusions:
- The open trocar insertion technique is safe, easy, and rapid, suitable even for obese patients.
- This method offers a safer alternative to blind puncture, with potential cost reductions.
