The barrier-free trocar technique in three laparoscopic standard procedures.
BACKGROUND
Numerous technical and surgical innovations took place in laparoscopic surgery in the recent past. It is debatable whether single-access surgery or natural orifice surgery (NOS) will establish for several standard procedures. Most of the NOS-procedures are controversial and single-access surgery still has to prove its equality in controlled trials. In the intention to reduce the ingress incisons and to facilitate instrumentation, we decided to test the barrier-free AirSeal(®)-trocar in clinical practice.


METHODS
Laparoscopically we performed a cholecystectomy, gastric wedge-resection and a fundoplication using the barrier-free AirSeal(®) 12-mm-trocar. This trocar works without any mechanical barrier so that via this trocar the use of two instruments is possible.


RESULTS
All three operations were successful.


CONCLUSIONS
Laparoscopic standard procedures are feasible using this barrier-free trocar without a higher degree of difficulty. Because of the facilitated instrumentation, it is possible to work more efficiently and to maintain the focus on the surgical field.
Department of Surgery, Sana Klinikum Lichtenberg Berlin, Berlin, Germany.
Oskar
O
Rückbeil
Andreas
A
Lewin
Matthias
M
Federlein
Klaus
K
Gellert