Direct trocar entry for laparoscopy safety and efficiency

Özet

Introduction: This study is an examination of the safety and efficiency of the direct trocar entry method usedto create pneumoperitoneum in laparoscopic surgery.Materials and Methods: Between January 1, 2009 and December 31, 2014, our clinic retrospectively evaluated cases in which a direct trocar entry method was used to create pneumoperitoneum in laparoscopicsurgery. The results were compared with those reported in the literature in terms of reliability and efficiency.Results: Of a total of 1200 patients who underwent laparoscopic surgery, 1152 patients were included in thisstudy due to exclusion for a history of abdominal surgery and risks of adhesion. Among the 1152 patients,50 had to be removed from the study as a result of unsuccessful entry using the direct trocar method dueto the patient’s obesity factor. In 4 patients of the 1102, there was under skin hematoma and ecchymosis(bruising of the skin), and 1 had bleeding in the omentum. The laparoscopic procedure on this patient hadto be terminated due to the bleeding in the omentum. There were no other complications seen in the studygroup.Conclusion: A laparoscopic procedure using the direct trocar method is safe and efficient for patients whohave no history of abdominal surgery.