Techniques of pneumoperitoneum

Area of Science:

• Surgical Procedures
• Minimally Invasive Surgery

Background:

• Laparoscopic cholecystectomy is the standard for gallstone disease.
• Safe pneumoperitoneum and trocar insertion are critical steps.
• The Veress needle technique has been associated with complications like bowel laceration.

Purpose of the Study:

• To compare the Veress needle technique with the Hasson open laparoscopic technique.
• To analyze the safety and efficacy of each method for obtaining pneumoperitoneum.
• To evaluate complication rates and procedural efficiency.

Main Methods:

• Retrospective analysis of 150 laparoscopic cholecystectomies using the Veress needle.
• Prospective analysis of 150 laparoscopic cholecystectomies using the Hasson technique.
• Comparison of complication rates, procedure time, and cost-effectiveness.

Main Results:

• The Veress needle technique was associated with complications, including bowel laceration.
• The Hasson technique resulted in 150 procedures performed without complications.
• Open laparoscopy (Hasson technique) was found to be quicker and safer.

Conclusions:

• The Hasson open laparoscopic technique is a superior method for obtaining pneumoperitoneum.
• This technique offers improved safety, efficiency, and cost-effectiveness compared to the Veress needle method.
• Adoption of the Hasson technique significantly reduces the risk of complications in laparoscopic surgery.