Closed blunt-trocar 5 mm-port for primary cannulation in laparoscopic surgery: A safe technique.
Primary cannulation of the peritoneal cavity is a critical part of laparoscopic surgery. The aim of this study was to evaluate the safety and applicability of a direct blunt-port primary cannulation. The peritoneal cavity was accessed by direct trocar-port insertion at sites other than the umbilicus and avoiding abdominal scars. A 5-mm port with a smooth blunt tip conical trocar was employed using a closed technique. The closed blunt trocar-port technique for primary cannulation of the peritoneal cavity was applied in 503 of 524 patients (96%) who underwent laparoscopic surgery between 2002 and 2005. Some 199 patients (38%) had abdominal scars of previous surgery. There were no major complications, but minor complications occurred in 3 patients (0.6%). No bowel or retroperitoneal vascular injuries were encountered. The closed introduction of a blunt-tipped 5-mm port, conical-trocar is a simple technique for primary cannulation in laparoscopic surgery that allows safe and rapid access to the peritoneal.
Hamade
Ayman M
AM
Department of Surgery, Manchester Royal Infirmary, Manchester, UK.
Butt
Iram
I
Balbisi
Bassel
B
Ross
Gill
G
Al-Hourani
Sulieman
S
Al-Bahrani
Ahmed Z
AZ
Ammori
Basil J
BJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods*; D002648:Child; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010529:Peritoneal Cavity; D011028:Pneumoperitoneum, Artificial