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Improving the ease and safety of laparoscopy: a technique for open insertion of the umbilical trocar
J G Rice1, J G McCall, D A Wattchow
1Department of Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia.
The Australian and New Zealand Journal of Surgery
|September 16, 1998
Abstract
Background:
Sharp cannulation of the abdominal cavity for laparoscopy occasionally causes life-threatening injury to major vessels.
Methods:
A technique of open cannulation is described to minimize this risk.
Results:
In over 2000 general surgical laparoscopies performed the Flinders Medical Centre, there were no major vessel injuries and only one bowel injury (prior to laparotomy).
Conclusions:
We advocate the use of open technique to minimize injuries caused by abdominal cannulation for laparoscopy.