开放式Veress辅助技术。2700例病例的结果。

Open Veress Assisted technique. Results in 2700 cases.

作者信息

Corcione F, Miranda L, Settembre A, Capasso P, Piccolboni D, Cusano D, Bakhtri M, Manzi F

机构信息

Department of Surgery, Laparoscopic Surgery Centre, Monaldi Hospital Neaples, Italy.

出版信息

Minerva Chir. 2007 Dec;62(6):443-6.

PMID:18091654

Abstract

AIM

The risks of specific complications of the laparoscopic technique, caused by pneumoperitoneum and by insertion of the first trocar, although rare, are frequently reported in literature.

METHODS

A retrospective study of the complications we had in the period from October 1998 to December 2006 was made on 2700 patients who did not need any trocars in the umbilicus or with scars due to previous surgery, who were treated with a particular technique of pneumoperitoneum induction and the insertion of the first trocar, named ''Open Veress Assisted'' (OVA).

RESULTS

We had two visceral complications (0,07%) (ileal perforations).

CONCLUSION

Although no surgical technique is without risks, we believe that the use of our technique is safer than a blind insertion of the first trocar, especially among the patients with scars due to previous surgery.

摘要