Mohammadi Mehrdad, Shakiba Behnam, Shirani Matin
Department of Urology, Isfahan University of Medical Sciences, Isfahan, Iran.
Biomedicine (Taipei). 2018 Dec;8(4):22. doi: 10.1051/bmdcn/2018080422. Epub 2018 Nov 26.
Nowadays, diverse approaches have been existed for laparoscopic procedures. The most common laparoscopic entry methods included close and direct entry laparoscopy and open (Hasson) laparoscopy. There is no evidence regarding the superiority in safety and initial speed for the use of open and optical laparoscopic entry. Therefore, the sight of current study was to evaluate comparative survey of two methods of laparoscopic trocar insertion (Hasson and VisiportTM) in terms of speed and complications in urologic surgery.
This expertized base clinical trial study was conducted on 100 patients who underwent urological laparoscopy in Alzahra Hospital, Isfahan, Iran. These patients were randomly divided to two groups (n = 50). One group underwent open laparoscopy and another group Visiport optical trocar. Speed and Complications of urologic surgery was extracted from medical records. Independent T test was used for doing of analysis.
The mean age of patients in Hasson and Visiport laparoscopic group was 41.4 ± 11.2 and 41.6 ± 15 years old, respectively (p = 0.91). The mean time for initial trocar placement in patients who underwent Visiport trocar system and Hasson laparoscopic technique was 37.7 ± 15.59 and 95.4 ± 31.75 seconds. There was gratifying difference between two techniques of laparoscopic trocar insertion (Hasson and Visiport) in terms of speed (p = 0.000). In addition, complications were observed in 8% of patients who underwent Visiport trocar system. However, no complications were observed in Hasson laparoscopy group.
Visiport optical trocar technique is faster for initial trocar placement than open laparoscopy. However it is associated with complications compared to open laparoscopy. Therefore, there is evidence of benefit in terms of speed for initial trocar placement and harm based on complications in Visiport trocar system.
如今，腹腔镜手术存在多种方法。最常见的腹腔镜进入方法包括闭合直接进入腹腔镜手术和开放（哈森）腹腔镜手术。尚无证据表明开放和光学腹腔镜进入在安全性和初始速度方面具有优越性。因此，本研究的目的是评估泌尿外科手术中两种腹腔镜套管针插入方法（哈森法和可视端口法）在速度和并发症方面的比较情况。
本专业基础临床试验研究针对100例在伊朗伊斯法罕的阿尔扎赫拉医院接受泌尿外科腹腔镜手术的患者进行。这些患者被随机分为两组（每组n = 50）。一组接受开放腹腔镜手术，另一组接受可视端口光学套管针手术。泌尿外科手术的速度和并发症情况从医疗记录中提取。采用独立t检验进行分析。
哈森腹腔镜组和可视端口腹腔镜组患者的平均年龄分别为41.4 ± 11.2岁和41.6 ± 15岁（p = 0.91）。接受可视端口套管针系统和哈森腹腔镜技术的患者初始套管针放置的平均时间分别为37.7 ± 15.59秒和95.4 ± 31.75秒。两种腹腔镜套管针插入技术（哈森法和可视端口法）在速度方面存在显著差异（p = 0.000）。此外，接受可视端口套管针系统的患者中有8%出现并发症。然而，哈森腹腔镜组未观察到并发症。
可视端口光学套管针技术在初始套管针放置方面比开放腹腔镜手术更快。然而，与开放腹腔镜手术相比，它会引发并发症。因此，有证据表明可视端口套管针系统在初始套管针放置速度方面有益，但基于并发症则有害。
