The Sakarya Technique for Safer Laparoscopic Access

Area of Science:

• Minimally Invasive Surgery
• Surgical Techniques
• Urology

Background:

• Laparoscopic surgery relies on safe abdominal access for initial trocar placement.
• Current techniques for creating pneumoperitoneum lack a universal consensus.
• This study introduces and evaluates a novel technique for laparoscopic entry.

Purpose of the Study:

• To introduce the Sakarya technique for safe initial trocar insertion in transabdominal laparoscopic surgery.
• To compare the Sakarya technique with the traditional Veress needle technique.
• To assess safety, efficiency, and complication rates of both methods.

Main Methods:

• Retrospective review of 317 urological laparoscopic surgery patients (January 2016-January 2025).
• Comparison between 98 patients using the Veress needle technique and 182 using the Sakarya technique.
• Data collected included patient characteristics, time to camera entry, gas leakage, and complications.

Main Results:

• The Sakarya technique demonstrated a significantly shorter time from skin incision to camera entry (27 seconds vs. 105 seconds, P < .001).
• No major vascular complications were observed with the Sakarya technique.
• Complication and gas leakage rates were comparable between the Sakarya and Veress needle techniques (P > .05).

Conclusions:

• The Sakarya technique is presented as an easy, safe, and fast method for initial trocar insertion.
• This technique offers a valuable alternative for laparoscopic abdominal access.
• Further research may explore broader applications and long-term outcomes.