Document Detail

Comparison between direct trocar and Veress needle insertion in laparoscopic cholecystectomy.
MedLine Citation:
PMID:  18158797     Owner:  NLM     Status:  MEDLINE    
Although the Veress needle (VN) is widely used for insufflation of the peritoneum, direct trocar (DT) insertion is going to be more popular. A lot of complications have been reported because of the use of VN. We designed a prospective, nonrandomized study for the comparison of VN and DT insertion techniques. A pneumoperitoneum was created using the VN in 135 patients and using DT insertion technique in 148 patients during a 3-year period. Although no major complication was seen in the DT group, three major complications were seen in the VN group, but there was no statistically significant difference between both groups. More frequent minor complications were seen in the VN group, but it was statistically insignificant. Surgical skill and experience of the surgeon with the entry technique who is using it is an important factor for the selection of the abdominal insufflation technique.
Hasan Altun; Oktay Banli; Burak Kavlakoglu; Bekir Kücükkayikci; Cem Kelesoglu; Nevruz Erez
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  17     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-26     Completed Date:  2008-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  709-12     Citation Subset:  IM    
Department of General Surgery, Ankara Etlik Ihtisas Hospital, Ankara, Turkey.
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MeSH Terms
Laparoscopy / methods*
Middle Aged
Pneumoperitoneum, Artificial
Postoperative Complications
Prospective Studies
Surgical Instruments
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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