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Safe Introduction of Ancillary Trocars

The problem of laparoscopic entry is currently still unsolved, and despite the various techniques adopted by the surgical community, it has not yet been determined which is the correct access in all patients. Add to this the problem of safe ancillary port introduction; all surgeons must avoid vascul...

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Autores principales: Tinelli, Andrea, Gasbarro, Nicola, Lupo, Pietro, Malvasi, Antonio, Tsin, Daniel A., Davila, Fausto, Dominguez, Guillermo, Mettler, Liselotte, Wetter, Paul Alan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481235/
https://www.ncbi.nlm.nih.gov/pubmed/23477178
http://dx.doi.org/10.4293/108680812X13427982376464
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author Tinelli, Andrea
Gasbarro, Nicola
Lupo, Pietro
Malvasi, Antonio
Tsin, Daniel A.
Davila, Fausto
Dominguez, Guillermo
Mettler, Liselotte
Wetter, Paul Alan
author_facet Tinelli, Andrea
Gasbarro, Nicola
Lupo, Pietro
Malvasi, Antonio
Tsin, Daniel A.
Davila, Fausto
Dominguez, Guillermo
Mettler, Liselotte
Wetter, Paul Alan
author_sort Tinelli, Andrea
collection PubMed
description The problem of laparoscopic entry is currently still unsolved, and despite the various techniques adopted by the surgical community, it has not yet been determined which is the correct access in all patients. Add to this the problem of safe ancillary port introduction; all surgeons must avoid vascular and visceral damage. The 2 most common problems with second port trocars are inferior and superior epigastric artery damage, and bowel loops and adhesions. Over the years, we have developed 2 steps that are very useful to avoid iatrogenic injuries to vessels and viscera. In this brief report, we explain the following 2 simple steps, called by the authors “yellow island” port entry and second trocar “tip entry guided” by a suction cannula. In our practice of more than 3400 conventional laparoscopies, with data from patients with different characteristics, surgeons who have introduced laparoscopic surgery into their daily practice might teach these steps to young fellows and trainees.
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spelling pubmed-34812352012-11-02 Safe Introduction of Ancillary Trocars Tinelli, Andrea Gasbarro, Nicola Lupo, Pietro Malvasi, Antonio Tsin, Daniel A. Davila, Fausto Dominguez, Guillermo Mettler, Liselotte Wetter, Paul Alan JSLS Scientific Papers The problem of laparoscopic entry is currently still unsolved, and despite the various techniques adopted by the surgical community, it has not yet been determined which is the correct access in all patients. Add to this the problem of safe ancillary port introduction; all surgeons must avoid vascular and visceral damage. The 2 most common problems with second port trocars are inferior and superior epigastric artery damage, and bowel loops and adhesions. Over the years, we have developed 2 steps that are very useful to avoid iatrogenic injuries to vessels and viscera. In this brief report, we explain the following 2 simple steps, called by the authors “yellow island” port entry and second trocar “tip entry guided” by a suction cannula. In our practice of more than 3400 conventional laparoscopies, with data from patients with different characteristics, surgeons who have introduced laparoscopic surgery into their daily practice might teach these steps to young fellows and trainees. Society of Laparoendoscopic Surgeons 2012 /pmc/articles/PMC3481235/ /pubmed/23477178 http://dx.doi.org/10.4293/108680812X13427982376464 Text en © 2012 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Tinelli, Andrea
Gasbarro, Nicola
Lupo, Pietro
Malvasi, Antonio
Tsin, Daniel A.
Davila, Fausto
Dominguez, Guillermo
Mettler, Liselotte
Wetter, Paul Alan
Safe Introduction of Ancillary Trocars
title Safe Introduction of Ancillary Trocars
title_full Safe Introduction of Ancillary Trocars
title_fullStr Safe Introduction of Ancillary Trocars
title_full_unstemmed Safe Introduction of Ancillary Trocars
title_short Safe Introduction of Ancillary Trocars
title_sort safe introduction of ancillary trocars
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481235/
https://www.ncbi.nlm.nih.gov/pubmed/23477178
http://dx.doi.org/10.4293/108680812X13427982376464
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