Laparoscopic entry: the modified alwis method and more.
Despite the rapid advances in laparoscopic surgery in the past 2 decades, the initial entry still accounts for approximately 40% to 50% of laparoscopic complications and should be considered the most dangerous step of a laparoscopic procedure. In this review, the authors share a technique for initial umbilical entry, and provide alternative entry sites in cases where umbilical entry is contraindicated.
Vellinga
Thomas T
TT
De Alwis
Sarath
S
Suzuki
Yoko
Y
Einarsson
Jon I
JI