Vilos George A, Ternamian Artin, Dempster Jeffrey, Laberge Philippe Y
London, ON.
Toronto, ON.
J Obstet Gynaecol Can. 2017 Jul;39(7):e69-e84. doi: 10.1016/j.jogc.2017.04.013.
To provide clinical direction, based on the best evidence available, on laparoscopic entry techniques and technologies and their associated complications.
The laparoscopic entry techniques and technologies reviewed in formulating this guideline include the classic pneumoperitoneum (Veress/trocar), the open (Hasson), the direct trocar insertion, the use of disposable shielded trocars, radially expanding trocars, and visual entry systems.
Implementation of this guideline should optimize the decision-making process in choosing a particular technique to enter the abdomen during laparoscopy.
English-language articles from Medline, PubMed, and the Cochrane Database published before the end of September 2005 were searched, using the key words laparoscopic entry, laparoscopy access, pneumoperitoneum, Veress needle, open (Hasson), direct trocar, visual entry, shielded trocars, radially expanded trocars, and laparoscopic complications.
The quality of evidence was rated using the criteria described in the Report of the Canadian Task Force on the Periodic Health Examination. RECOMMENDATIONS AND SUMMARY STATEMENT.
基于现有最佳证据，为腹腔镜进入技术及相关并发症提供临床指导。
制定本指南时所回顾的腹腔镜进入技术包括经典气腹法（韦雷斯针/套管针）、开放法（哈森法）、直接套管针插入法、使用一次性带保护套套管针、径向扩张套管针以及可视化进入系统。
实施本指南应优化腹腔镜检查时选择特定腹部进入技术的决策过程。
检索了2005年9月底前发表于医学索引数据库、医学期刊数据库和考克兰系统评价数据库的英文文章，关键词为腹腔镜进入、腹腔镜检查通路、气腹、韦雷斯针、开放法（哈森法）、直接套管针、可视化进入、带保护套套管针、径向扩张套管针和腹腔镜并发症。
采用加拿大定期健康检查特别工作组报告中所述标准对证据质量进行评级。建议和总结声明。
