A New Method for Laparoscopic Port Insertion Using Exposure of the Rectus Sheath Fascia and Z-type Sutures.
- Author:
Dong Hoon SHIN
1
Author Information
1. Department of Surgery, Gospel Hospital, Kosin University College of Medicine, Busan, Korea. dhshin4177@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Trocar insertion;
Complication;
Laparoscopic surgery
- MeSH:
Cholecystectomy, Laparoscopic;
Fascia;
Humans;
Laparoscopy;
Needles;
Peritoneal Cavity;
Pneumoperitoneum;
Surgical Instruments;
Sutures
- From:Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2009;12(1):1-4
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Access to the peritoneal cavity requires a pneumoperitoneum for laparoscopic procedures. Safe insertion of the first port during laparoscopic surgery has always been problematic, from the early use of the Veress needle to the open Hasson technique. Many procedures must be done blindly. The blind insertion of a Veress needle or first trocar, to create the pneumoperitoneum, has been shown to cause vascular and visceral injuries. To reduce the risks associated with peritoneal entry, many surgeons prefer an open- access technique, similar to the Hassson method. The aim of this study was to assess the safety of peritoneal entry and avoidance of vascular and visceral injuries with a new technique. METHODS: In a series of 385 patients, a modified new method of laparoscopic port insertion using exposure of the rectus sheath fascia and Z-type sutures was performed to obtain a pneumoperitoneum for laparoscopic cholecystectomy from 2004 to 2008, at the Gospel Hospital, Kosin University College of Medicine. RESULTS: There were no visceral or vascular complications among the 385 patients that had laparoscopy using this technique. CONCLUSION: This technique was safe and effective for laparoscopic cholecystectomy procedures and should be considered an option to reduce entry injuries during laparoscopic surgery involving the peritoneal cavity.
