Open Laparoscopy | 合法醫療器材資訊網

Openlaparoscopyisatechniquewhichallowsplacementofalaparoscopic...30​%ofsurgeonsuseHassonopenentrytechniquetoperformlaparoscopy,40% ...

Safety

Several studies suggest that initial trocar insertion is the most dangerous aspect of trocar use, and possibly the most dangerous step in minimally invasive surgery.5, 6, 7, 8 Champault et al. have shown that 83% of vascular injuries, 75% of bowel injuries, and 50% of local hemorrhage injuries were caused during primary trocar insertion.9 The incidence of these types of injuries may be higher in patients with previous abdominal surgeries and suspected adhesions. Both Brill and Nezhat10, 11 reported series of bowel and omental adhesions in 360 patients who had undergone previous abdominal surgery. Severe adhesions were noted in patients with a history of severe peritonitis, bowel resection, intra-abdominal cancer surgery, radio and chemotherapy and previously diagnosed adhesions. Not surprisingly, midline incisions had a higher incidence of adhesions than Pfannenstiel incisions; and pa...