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Related Experiment Video

Updated: Mar 1, 2026

Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques
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Direct Laparoscopic Trocar Insertion: Lessons Learned from Nine Litigated Cases.

George A Vilos1, Artin Ternamian2, Angelos G Vilos1

  • 1Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, The Fertility Clinic, London Health Sciences Centre, Western University, London, Ontario, Canada.

Journal of Minimally Invasive Gynecology
|June 4, 2017
PubMed
Summary

Direct trocar insertion injuries during laparoscopic surgery can lead to severe complications, including bowel and major vessel damage. Delayed intervention in bowel injuries and vascular damage significantly increases adverse outcomes and litigation risks.

Area of Science:

  • Surgical Safety
  • Minimally Invasive Surgery
  • Medical Litigation

Background:

  • Direct trocar insertion (DTI) is a common method for primary laparoscopic access.
Keywords:
Direct trocar insertionLaparoscopic bowel injuryLaparoscopic trocar injuryLaparoscopic vessel injuryMedicolegal litigationPeritoneal access

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  • Intra-abdominal injuries during DTI can have severe clinical and medicolegal consequences.
  • Litigation data provides insights into the outcomes of surgical complications.