Serious trocar accidents in laparoscopic surgery: a French survey of 103,852 operations.
The incidence of serious trocar accidents was evaluated from a retrospective French study of 103,852 laparoscopic operations involving almost 390,000 trocars. Seven perioperative deaths occurred (mortality 0.07/1,000), arising almost exclusively from vascular injuries. The incidence of vascular injuries was 0.4/1,000. There were injuries to almost all the abdominal organs and most of the abdominal vascular tree. In the absence of any well-defined safety regulations, the technique of open insertion of the first trocar would appear to be the best means of preventing these accidents.
Service de Chirurgie Generale et Digestive, Hôpital Jean Verdier, Bondy, France.
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Champault
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Cazacu
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Taffinder
D003625:Data Collection; D005602:France / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology* / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects* / Q000401:mortality; D009017:Morbidity; D013525:Surgical Instruments / Q000009:adverse effects*; D015996:Survival Rate