Open laparoscopic access using a radially dilating trocar: Experience and indications in 50 consecutive cases

D. C. Cuellar, P. K. Kavoussi, L. A. Baker, S. G. Docimo

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Background: Laparoscopy can be performed using needle access for initial insufflation or open access. Patients and Methods: A technique for open laparoscopic access to the abdomen using a radially dilating cannula was used in 52 operations in 50 patients. Indications included age <2 years, severe kyphosis, and creation of an umbilical stoma. Results: There was one case of minor leakage of carbon dioxide that did not affect the procedure bring performed. There were two cases of preperitoneal placement, which were recognized immediately; in both, peritoneal access was easily obtained. Conclusion: Open laparoscopic access is safely and easily performed with a radially dilating trocar. This is the preferred technique at our institution for patients who meet the criteria for open access.

Original languageEnglish (US)
Pages (from-to)755-756
Number of pages2
JournalJournal of Endourology
Volume14
Issue number9
DOIs
StatePublished - Nov 2000

ASJC Scopus subject areas

  • Urology

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