A safe optically guided entry technique using Endopath Xcel Trocars in laparoscopic surgery: A personal series of 821 patients

Abstract

Objective: To demonstrate the technique and clinical safety of primary entry of an optically guided entry approach in laparoscopic surgery. Materials: The clinical data from a personal series of 821 consecutive cases of laparoscopic surgery were used. Methods: The technique of an optically guided primary entry using an Endopath Xcel trocar was described. Results: There was no bowel, vascular, or visceral complication in this series. This entry approach was also safe in those with high surgical risks, for example, high body mass index, multiple previous abdominal surgeries and previous laparotomy. There was no failed entry, no extraperitoneal insufflation, no wound infection and wound hernia. Conclusion: In this personal series, the findings demonstrated the safety and feasibility of an optically guided entry technique in laparoscopic surgeries.

Keywords

• Entry technique
• Laparoscopic surgery
• Trocar