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Direct Vision Entry with Integrated Insufflation.

Colton J Bohonos1, Patrick M Collins1, Lucy O'Gorman1

  • 1Department of Urology, Mercy University Hospital, Cork, Ireland.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|May 11, 2026
PubMed
Summary
This summary is machine-generated.

The Kii Fios First Entry system offers a safe and efficient method for creating pneumoperitoneum in laparoscopic renal surgery. This direct vision technique proved successful and quick, regardless of surgeon experience or patient factors like BMI.

Keywords:
Kii FiosLaparoscopyPneumoperitoneumRenal surgeryTrocar

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technology
  • Urology

Background:

  • Traditional pneumoperitoneum methods (Veress, Hasson) have limitations.
  • Direct vision entry ports are less commonly described.
  • Assessing novel direct vision techniques is crucial for surgical advancement.

Purpose of the Study:

  • Evaluate the success, safety, and efficiency of the Kii Fios First Entry system.
  • Compare this technique to established methods for pneumoperitoneum.
  • Determine the usability of direct vision entry in renal laparoscopic surgery.

Main Methods:

  • The Kii Fios First Entry system was utilized in 100 consecutive renal surgery cases.
  • Direct visualization through the trocar with simultaneous insufflation was employed.
  • Data collected included patient BMI, time to pneumoperitoneum, and complications.

Main Results:

  • Mean time to pneumoperitoneum was 29.4 seconds, with 90% first-attempt success.
  • Operator grade (consultant vs. trainee) did not impact entry time or success rates.
  • Patient BMI and prior abdominal surgery did not significantly affect outcomes.

Conclusions:

  • The Kii Fios First Entry system is a safe, easy, and cost-effective alternative for laparoscopic surgery.
  • This direct vision technique offers very short entry times.
  • It provides a reliable method for establishing pneumoperitoneum in renal procedures.