Advances In Abdominal Access For Laparoscopic Surgery
PDF Downloads : 16    VIEW PDF

How to Cite

Dr. Karansinh Parve Patil, Dr. Tejashree Junagade, & Dr. Jayant Gadekar. (2018). Advances In Abdominal Access For Laparoscopic Surgery. VIMS Health Science Journal , 5(4), 173-178. Retrieved from


There are several laparoscopic surgery abdominal wall access techniques. The most useful and well-established is the open Hasson technique. The Veress needle closed technique is another alternative, but its use is controversial owing to possibly higher rates of rare insertion complications. Optical trocars have been developed in an attempt to decrease complication rates even further, although the evidence base supporting their use is limited. Single-incision laparoscopic surgery (SILS) is used in certain centers to carry out various abdominal surgeries, but most commonly appendectomy and cholecystectomy. To date, SILS appears safe and feasible, with possibly greater costs and operative time. Natural orifice translumenal endoscopic surgery (NOTES) is an evolving area of incisionless surgery. While some progress has been made in achieving transgastric or transvaginal peritoneal endoscopic access, this technique remains largely unproven and best-suited for experimental or clinical trial protocols.

PDF Downloads : 16    VIEW PDF


Shabanzadeh DM, Sørensen LT. Laparoscopic surgery compared with open surgery decreases surgical site infection in obese patients: a systematic review and meta-analysis. Ann Surg. 2012;256(6):934–945.

Ahmad G, O’Flynn H, Duffy JM, Phillips K, Watson A. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2012;2:CD006583.

Nguyen NT, Scott-Conner CEH. The SAGES Manual. Berlin, Germany: Springer; 2012.

Vilos GA, Ternamian A, Dempster J. Laparoscopic entry: a review of techniques, technologies, and complications. J Obstet Gynaecol Can. 2007;29(5):433–465.

Hasson HM, Rotman C, Rana N, Kumari NA. Open laparoscopy: 29-year experience. Obstet Gynecol. 2000;96(5 Pt 1):763–766.

Bonjer HJ, Hazebroek EJ, Kazemier G. Open versus closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg. 1997;84(5):599–602.

Larobina M, Nottle P. Complete evidence regarding major vascular injuries during laparoscopic access. Surg Laparosc Endosc Percutan Tech. 2005;15(3):119–123.

Chapron CM, Pierre F, Lacroix S, Querleu D. Major vascular injuries during gynecologic laparoscopy. J Am Coll Surg. 1997;185(5):461–465.

Schäfer M, Lauper M, Krähenbähl L. Trocar and Veress needle injuries during laparoscopy. Surg Endosc. 2001;15(3):275–280.

Berch BR, Torquati A, Lutfi RE, Richards WO. Experience with the optical access trocar for safe and rapid entry in the performance of laparoscopic gastric bypass. Surg Endosc. 2006;20(8):1238–1241.

String A, Berber E, Foroutani A, Macho JR, Pearl JM, Siperstein AE. Use of the optical access trocar for safe and rapid entry in various laparoscopic procedures. Surg Endosc. 2001;15(6):570–573.

Hallfeldt KK, Trupka A, Kalteis T, Stuetzle H. Safe creation of pneumoperitoneum using an optical trocar. Surg Endosc. 1999;13(3):306–307.

Froghi F, Sodergren MH, Darzi A, Paraskeva P. Single-incision laparoscopic surgery (SILS) in general surgery: a review of current practice. Surg Laparosc Endosc Percutan Tech. 2010;20(4):191–204.

Gumbs AA, Milone L, Sinha P, Bessler M. Totally transumbilical laparoscopic cholecystectomy. J Gastrointest Surg. 2009;13(3):533–534.

Zhu JF, Hu H, Ma YZ, Xu MZ. Totally transumbilical endoscopic cholecystectomy without visible abdominal scar using improved instruments. Surg Endosc. 2009;23(8):1781–1784.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Copyright (c) 2018 Dr. Karansinh Parve Patil, Dr. Tejashree Junagade, Dr. Jayant Gadekar


Download data is not yet available.