Gasless laparoscopic surgery using a new intra-abdominal fan retractor system: an experience of 500 cases.
OBJECTIVE
The aim of this study is to report the feasibility of a newly developed intra-abdominal fan retractor system for use in gynecologic laparoscopic surgery.


METHODS
Five hundred women undergoing gasless laparoscopic surgery using the abdominal wall lifting device were included in the study. The intraoperative and postoperative courses, and complications were examined.


RESULTS
The intra-abdominal retractor system provided adequate exposure in all cases, except for one patient with morbid obesity. Neither the presence of the intra-abdominal retractor blades nor the mechanical arm interfered with the placement of instruments during surgery. No complications related to the use of gasless laparoscopy were encountered in this study period.


CONCLUSIONS
The new intra-abdominal fan retractor system is feasible in gynecologic laparoscopic surgery.
Akira
Shigeo
S
Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan. s-akira@nms.ac.jp
Abe
Takashi
T
Igarashi
Kenji
K
Nishi
Yayoi
Y
Kurose
Keisuke
K
Watanabe
Michiaki
M
Takeshita
Toshiyuki
T
D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D016896:Treatment Outcome