Bladeless direct optical trocar insertion in laparoscopic procedures on the obese patient

Journal of the Society of Laparoendoscopic Surgeons

Volumn 17, Issue 4, 2013, Pages 521-528

  Tinelli, Andrea ^a   Malvasi, Antonio ^b   Mynbaev, Ospan A ^c   Tsin, Daniel Alberto ^d   Davila, Fausto ^e   Dominguez, Guillermo ^f   Perrone, Emanuele ^g   Nezhat, Farr R ^h,i  

^a VITO FAZZI HOSPITAL   (Italy)

^b Santa Maria Hospital   (Italy)

^c A I EVDOKIMOV MOSCOW STATE UNIVERSITY OF MEDICINE AND DENTISTRY   (Russian Federation)

^d MOUNT SINAI HOSPITAL   (United States)

^e Hospital Regional de Poza Rica   (Mexico)

^f Secretaria del Comité de Pediatría de la Sociedad Argentina de Diabetes   (Argentina)

^g UNIVERSITY OF PERUGIA   (Italy)

^h Columbia University College of Physicians and Surgeons ^*  (United States)

ⁱ ST LUKE S ROOSEVELT HOSPITAL CENTER   (United States)

Author keywords

Complications; Direct optical access; Direct trocar insertion; Laparoscopic entry; Laparoscopy; Obesity; Open hasson technique; Pneumoperitoneum; Veress needle

Indexed keywords

ADULT; ARTICLE; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EQUIPMENT DESIGN; FEMALE; HUMAN; LAPAROSCOPE; LAPAROSCOPY; METHODOLOGY; MULTICENTER STUDY; OBESITY; OVARY DISEASE; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SURGICAL EQUIPMENT; UTERUS DISEASE;

ADULT; EQUIPMENT DESIGN; FEMALE; HUMANS; LAPAROSCOPES; LAPAROSCOPY; OBESITY; OVARIAN DISEASES; PROSPECTIVE STUDIES; SURGICAL INSTRUMENTS; UTERINE DISEASES;

EID: 84891822676     PISSN: 10868089     EISSN: 19383797     Source Type: Journal    
DOI: 10.4293/108680813X13693422519398     Document Type: Article

References (22)

1. Tinelli A, Malvasi A, Schneider AJ, et al. First abdominal access in gynecological laparoscopy: which method to utilize? [in Italian]. Minerva Ginecol. 2006;58(5):429-440.
2. Tinelli A. Laparoscopic Entry: Traditional Methods, New Insights and Novel Approaches. London, UK: Springer, 2012.
3. Ahmad G, O'Flynn H, Duffy JM, Phillips K, Watson A. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2012;2: CD006583.
4. Ambardar S, Cabot J, Cekic V, et al. Abdominal wall dimensions and umbilical position vary widely with BMI and should be taken into account when choosing port locations. Surg Endosc. 2009;23(9):1995-2000.
5. Stany MP, Winter WE 3rd, Dainty L, Lockrow E, Carlson JW. Laparoscopic exposure in obese high-risk patients with mechanical displacement of the abdominal wall. Obstet Gynecol. 2004; 103(2):383-386.
6. Tinelli A, Malvasi A, Istre O, Keckstein J, Stark M, Mettler L. Abdominal access in gynaecological laparoscopy: a comparison between direct optical and blind closed access by Verres needle. Eur J Obstet Gynaecol Reprod Biol. 2010;148(2):191-194.
7. Tinelli A, Malvasi A, Guido M, Istre O, Keckstein J, Mettler L. Initial laparoscopic access in postmenopausal women: a preliminary prospective study. Menopause. 2009;16(5):966-970.
8. Tinelli A, Malvasi A, Guido M, Tsin DA, Hudelist G, Stark M, Mettler L. Laparoscopy entry in patients with previous abdominal and pelvic surgery. Surg Innov. 2011;18(3):201-205.
9. Tinelli A, Malvasi A, Hudelist G, Istre O, Keckstein J. Abdominal access in gynaecological laparoscopy: a comparison between direct optical and open access. J Laparoendosc Adv Surg Tech A. 2009;19(4):529-533.
10. Sturm R. Increases in morbid obesity in the USA: 2000-2005. Public Health. 2007;121(7):492-496.
11. Bernante P, Foletto M, Toniato A. Creation of pneumoperitoneum using a bladed optical trocar in morbidly obese patients: technique and results. Obes Surg. 2008;18(8):1043-1046.
12. Berch BR, Torquati A, Lutfi RE, Richards WO. Experience with the optical access trocar for safe and rapid entry in the performance of laparoscopic gastric bypass. Surg Endosc. 2006; 20(8):1238-1241.
13. Hallfeldt KK, Trupka A, Kalteis T, Stuetzle H. Safe creation of pneumoperitoneum using an optical trocar. Surg Endosc. 1999; 13(3):306-307.
14. String A, Berber E, Foroutani A, Macho JR, Pearl JM, Siperstein AE. Use of the optical access trocar for safe and rapid entry in various laparoscopic procedures. Surg Endosc. 2001;15(6): 570-573.
15. Ambardar S, Cabot J, Cekic V, et al. Abdominal wall dimensions and umbilical position vary widely with BMI and should be taken into account when choosing port locations. Surg Endosc. 2009;23(9):1995-2000.
16. Nezhat F, Brill AI, Nezhat CH, Nezhat A, Seidman DS, Nezhat C. Laparoscopic appraisal of the anatomic relationship of the umbilicus to the aortic bifurcation. J Am Assoc Gynecol Laparosc. 1998;5(2):135-140.
17. Sabeti N, Tarnoff M, Kim J, Shikora S. Primary midline peritoneal access with optical trocar is safe and effective in morbidly obese patients. Surg Obes Relat Dis. 2009;5(5):610-614.
18. Rosenthal RJ, Szomstein S, Kennedy CI, Zundel N. Direct visual insertion of primary trocar and avoidance of fascial closure with laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2007; 21(1):124-128.
19. Schwartz ML, Drew RL, Andersen JN. Induction of pneumoperitoneum in morbidly obese patients. Obes Surg. 2003;13(4): 601-604.
20. Ballem RV, Rudomanski J. Techniques of pneumoperitoneum. Surg Endosc. 1993;3(1):42-43.
21. String A, Berber E, Foroutani A, Macho JR, Pearl JM, Siperstein AE. Use of the optical access trocar for safe and rapid entry in various laparoscopic procedures. Surg Endosc. 2001;15(6):570-573.
22. Dunne N, Booth MI, Dehn TC. Establishing pneumoperitoneum: Verres or Hasson? The debate continues. Ann R Coll Surg Engl. 2011;93(1):22-24.