Related Experiment Videos
Laparoscopy without trocars
1Department of Obstetrics and Gynecology, St Joseph's Health Centre, Toronto, Ontario, Canada.
Surgical Endoscopy
|August 1, 1997
Summary
A new trocarless rotational access cannula (TRAC) offers a safer, faster, and more cost-effective method for laparoscopic surgery by eliminating blind entry. This innovative device achieved successful use in 135 patients without complications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Devices
- Laparoscopy
Background:
- Traditional laparoscopic access relies on cannulas and sharp trocars.
- A novel trocarless endoscopic access cannula was developed to enhance safety, reduce blind entry, save time, and lower costs.
- This device features a threaded hollow cannula with a blunt distal end.
Purpose of the Study:
- To evaluate the safety and efficacy of a novel trocarless rotational access cannula (TRAC).
- To assess the potential benefits of TRAC in improving surgical safety, efficiency, and cost-effectiveness in laparoscopic procedures.
Main Methods:
- Pneumoperitoneum is established using a Veress needle.
- The laparoscope is inserted into the cannula.
- The blunt tip of the threaded cannula engages the anterior rectus fascia through a small incision, advancing rotationally under video control without axial force.
Main Results:
- The trocarless rotational access cannula (TRAC) was successfully employed in 135 consecutive, unselected patients.
- No complications were reported during the use of the TRAC device in the study cohort.
Conclusions:
- The TRAC system provides significant advantages for laparoscopic surgery.
- This method enhances patient safety and reduces procedural costs.