The technique of peritoneoscopy

McBrien, M. P.

doi:10.1002/bjs.1800580608

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…The most common technique for laparoscopy involves the blind infraumbilical insertion of a Veress needle and insufflation of a carbon dioxide (CO 2 ) pneumoperitoneum followed by insertion of a sharp 10-mm trocar into the peritoneal cavity. 1 One of the most serious complications of this technique is injury to the large retroperitoneal vessels. 2 The rate of vascular complications has been reported to occur at a frequency of 0.1 to 6.4 per 1000 laparoscopies.…”

Section: Introductionmentioning

confidence: 99%

Mean Distance Between Primary Trocar Insertion Site and Major Retroperitoneal Vessels During Routine Laparoscopy

Narendran¹,

Baggish²

2002

Journal of Gynecologic Surgery

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Major vascular injuries complicating laparoscopic operations are a source of significant morbidity and mortality. The goal of this study was to measure the distances between the anterior abdominal wall subumbilical trocar entry site and the retroperitoneal location(s) of the aorta, iliac vessels, and urinary bladder directly. Patients were measured during actual laparoscopic surgery in the lithotomy, or modified lithotomy position, level, and Trendelenburg positions. Patients were all divided according to body-mass index (BMI) and height. Significant differences between distances from the primary trocar insertion site to the aorta and the iliac vessels were observed. Similarly, significant differences in the thickness of the anterior abdominal wall were observed between three BMI groups. The use of reasonable precautions will enable the surgeon to avoid trocar damage to the great vessels located in the abdominal retroperitoneum. (J GYNECOL SURG 18:121)

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Section: Introductionmentioning

confidence: 99%