G Bianchi1, E Martorana2, A Ghaith3, G M Pirola2, M Rani2, P Bove4, F Porpiglia5, F Manferrari6, S Micali2. 1. Departamento de Urología, Universidad de Módena & Reggio Emilia, Módena, Italia. Electronic address: bianchi.giampaolo@unimore.it. 2. Departamento de Urología, Universidad de Módena & Reggio Emilia, Módena, Italia. 3. Departamento de Urología, Universidad de Tanta, Tanta, Egipto. 4. Departamento de Urología, Universidad Tor Vergata, Roma, Italia. 5. Departamento de Urología, Hospital San Luigi Gonzaga, Orbassano, Torino, Italia. 6. Departamento de Urología, Hospital Sant'Orsola-Malpighi, Bolonia, Italia.
Abstract
BACKGROUND: Laparoscopy is a minimally invasive technique to access the abdominal cavity, for diagnostic or therapeutic applications. Optimizing the access technique is an important step for laparoscopic procedures. The aim of this study is to assess the outcomes of different laparoscopic access techniques and to identify the safest one. METHODS: Laparoscopic access questionnaire was forwarded via e-mail to the 60 centers who are partners in working group for laparoscopic and robotic surgery of the Italian Urological Society (SIU) and their American and European reference centers. RESULTS: The response rate was 68.33%. The total number of procedures considered was 65.636. 61.5% of surgeons use Veress needle to create pneumoperitoneum. Blind trocar technique is the most commonly used, but has the greatest number of complications. Optical trocar technique seems to be the safest, but it's the less commonly used. The 28,2% of surgeons adopt open Hasson's technique. Total intra-operative complications rate was 3.3%. Open conversion rate was 0.33%, transfusion rate was 1.13%, and total post-operative complication rate was 2.53%. CONCLUSION: Laparoscopic access is a safe technique with low complication rate. Most of complications can be managed conservatively or laparoscopically. The choice of access technique can affect the rate and type of complications and should be planned according to surgeon experience, safety of each technique and patient characteristics. All access types have perioperative complications. According with our study, optical trocar technique seems to be the safest.
BACKGROUND: Laparoscopy is a minimally invasive technique to access the abdominal cavity, for diagnostic or therapeutic applications. Optimizing the access technique is an important step for laparoscopic procedures. The aim of this study is to assess the outcomes of different laparoscopic access techniques and to identify the safest one. METHODS: Laparoscopic access questionnaire was forwarded via e-mail to the 60 centers who are partners in working group for laparoscopic and robotic surgery of the Italian Urological Society (SIU) and their American and European reference centers. RESULTS: The response rate was 68.33%. The total number of procedures considered was 65.636. 61.5% of surgeons use Veress needle to create pneumoperitoneum. Blind trocar technique is the most commonly used, but has the greatest number of complications. Optical trocar technique seems to be the safest, but it's the less commonly used. The 28,2% of surgeons adopt open Hasson's technique. Total intra-operative complications rate was 3.3%. Open conversion rate was 0.33%, transfusion rate was 1.13%, and total post-operative complication rate was 2.53%. CONCLUSION: Laparoscopic access is a safe technique with low complication rate. Most of complications can be managed conservatively or laparoscopically. The choice of access technique can affect the rate and type of complications and should be planned according to surgeon experience, safety of each technique and patient characteristics. All access types have perioperative complications. According with our study, optical trocar technique seems to be the safest.
Authors: Moritz Spiller; Marcus Bruennel; Victoria Grosse; Thomas Sühn; Nazila Esmaeili; Jessica Stockheim; Salmai Turial; Roland Croner; Axel Boese; Michael Friebe; Alfredo Illanes Journal: BMC Surg Date: 2022-07-19 Impact factor: 2.030
Authors: Heytor Jales Gurgel; Simon Silva de Sousa; João Pedro Monteiro Barroso; Gabrielle Patrizi Braga Vasconcelos; Daniele Lira Dos Santos; Luiz Henrique Vilela Araújo; Loise Araújo de Sousa; Gabriela Melo Alves Dos Santos; Kayan da Cunha Rossy; Verena Siqueira da Silva; Camila do Espirito Santo Fernandes; Barbara da Conceição Guilherme; Helaine Freitas Miranda; Carla Rozilene Guimarães Silva; Rodrigo Dos Santos Albuquerque; Luisa Pucci Bueno Borges; Gilson Ferreira de Araújo; Renata Sitta Mariano Landers; Pedro Paulo Maia Teixeira; Francisco Décio de Oliveira Monteiro Journal: Sci Rep Date: 2021-03-05 Impact factor: 4.379