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.
Champault
G
G
Service de Chirurgie Generale et Digestive, Hôpital Jean Verdier, Bondy, France.
Cazacu
F
F
Taffinder
N
N
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