(1,2) . Bundan baflka laparoskopik cerrahinin laparatomik cerrahiye oranla daha az komplikasyon h›z›na sahip oldu¤una dair veriler mevcuttur (3,4) . Laparoskopik cerrahinin relatif güvenli olmas›na ra¤men istenmeyen ciddi ba¤›rsak, mesane ve vasküler hasara neden olmas›, komplike ekipmanlar gerektirmesi ve uzun ö¤renme e¤risi kullan›m›n› k›s›tlamaktad›r (5,6) . Ciddi komplikasyonlar›n ço¤u trokar yerleflimi ile iliflkilidir (7,8) . Bu
DIFFERENT ACCESS AREAS, ACCESS TECHNIQUES AND TROCAR TYPES IN TRANSPERITONEAL LAPAROSCOPY SUMMARYLaparoscopy has enabled a radical change of practice for surgeons over the last two decades. In general, laparoscopic surgery leads to less scarring, less postoperative pain and more rapid healing rates compared to laparotomy (1,2) . Data are also available indicating that laparoscopic surgery has lesser complication rates compared to laparotomic surgery (3,4) . Although laparoscopic surgery is relatively safe, its causes unwanted and severe intestinal, bladder and vascular injury, requiring complicated equipment and a long learning curve limit is required for surgeons to master its use (5,6) . Most of the severe complications are related to trocar insertion (7,8) .