Department of Obstetrics and Gynecology, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, Brescia, Italy (Drs. Ciravolo, Donarini, and Rampinelli).
Department of Obstetrics and Gynecology, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, Brescia, Italy (Drs. Ciravolo, Donarini, and Rampinelli).
J Minim Invasive Gynecol. 2020 Feb;27(2):535-540. doi: 10.1016/j.jmig.2019.03.025. Epub 2019 Jul 10.
To analyze the complications experienced and describe laparoscopic surgery using a gasless optical trocar.
A retrospective study.
A department of obstetrics and gynecology in a tertiary center in Italy.
Seven thousand four hundred thirty-one surgical procedures were performed.
From the hospital database, data were evaluated regarding major complications of laparoscopy with the ENDOPATH XCEL Bladeless Trocar (Ethicon, Johnson & Johnson, Somerville, NJ) performed between 2000 and 2017 by different laparoscopic surgeons.
The mean age of the patients was 40.66 ± 12.06 years (range, 13-91 years). The mean body mass index was 22.12 ± 3.64 kg/m (range, 15.74-41.51 kg/m). The overall complication rate was 0.31% (23/7431 cases). Major complications included stomach perforation in 1 procedure (0.014%), ileal perforation in 2 procedures (0.028%), and blood vessel perforation in 1 procedure (0.014%). Twelve procedures were completed with initial access through the omentum and 2 through an ovarian cyst. In 5 procedures (0.067%), conversion to laparotomy was required because the optical trocar failed to reach the abdominal cavity. With regard to complications requiring further intervention (n = 9), the rate of complications was 0.12%.
The optical gasless trocar is a feasible laparoscopic entry technique. The complication rate is lower than those reported previously.
分析所经历的并发症，并描述使用无气光学套管的腹腔镜手术。
回顾性研究。
意大利一家三级中心的妇产科系。
共进行了 7431 例手术。
从医院数据库中评估 2000 年至 2017 年不同腹腔镜外科医生使用 Ethicon、Johnson & Johnson、Somerville、NJ 的 ENDOPATH XCEL 无刀片套管（Endopath XCEL Bladeless Trocar）进行腹腔镜手术的主要并发症的数据。
患者的平均年龄为 40.66 ± 12.06 岁（范围 13-91 岁）。平均体重指数为 22.12 ± 3.64kg/m（范围 15.74-41.51kg/m）。总并发症发生率为 0.31%（23/7431 例）。主要并发症包括 1 例胃穿孔（0.014%）、2 例回肠穿孔（0.028%）和 1 例血管穿孔（0.014%）。12 例手术初始通过大网膜进入，2 例通过卵巢囊肿进入。由于光学套管无法进入腹腔，有 5 例（0.067%）需要转为剖腹手术。在需要进一步干预的 9 例并发症中，并发症发生率为 0.12%。
无气光学套管是一种可行的腹腔镜进入技术。并发症发生率低于以往报道。
