[Laparoscopic surgery: injuries caused by trocars. (French Survey 1994) in reference to 103,852 interventions]

In a French retrospective survey including 103,852 laparoscopic procedure, and 390,000 port-insertion, trocar injuries rate have been evaluated. Mortality is 0.07 per thousand, quite exclusively in relation with vascular injuries (especially from aorta and iliac vessels) with a rate of 0.4 per thousand. All intra-abdominal viscera and vessels must be injured by the first blind trocar insertion. Open laparoscopy is systematically proposed to prevent these accidents.