Transumbilical open laparoscopy: a simple method of avoiding complications in pediatric surgery

Area of Science:

• Pediatric Surgery
• Minimally Invasive Surgery
• Surgical Techniques

Background:

• Laparoscopic surgery in children requires establishing pneumoperitoneum.
• Closed insertion of the initial trocar can lead to complications.
• Alternative methods for pneumoperitoneum may be time-consuming or complex.

Purpose of the Study:

• To introduce and evaluate a novel transumbilical open laparoscopy (TUOL) technique.
• To assess the safety and efficiency of TUOL for pediatric laparoscopic procedures.
• To provide an alternative to traditional pneumoperitoneum methods.

Main Methods:

• TUOL involves visually-guided, transumbilical introduction of the first trocar.
• No pursestring suture is required for this method.
• The procedure focuses on the initial step of establishing pneumoperitoneum.

Main Results:

• TUOL demonstrated an operative time of approximately 1 minute for trocar insertion.
• The technique was designed to mitigate risks associated with closed trocar insertion.
• The author reports positive experiences with the TUOL procedure.

Conclusions:

• TUOL is presented as an easier, less expensive, and less time-consuming method.
• The technique offers a simplified approach to pneumoperitoneum in pediatric laparoscopy.
• TUOL is recommended for its practical advantages in pediatric surgical settings.