Trocar in conventional laparoscopic and robotic-assisted surgery as a major cause of iatrogenic trauma to the patient

Joao Siufi Neto; Daniela Freitas Santos Siufi; Javier F. Magrina

doi:10.1016/j.bpobgyn.2015.11.005

Trocar in conventional laparoscopic and robotic-assisted surgery as a major cause of iatrogenic trauma to the patient

Joao Siufi Neto, Daniela Freitas Santos Siufi, Javier F. Magrina

Medical and Surgical Gynecology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

All laparoscopic procedures, laparoscopic or robotic-assisted, start with a trocar entry. Unfortunately unknown to most, this is an extremely important part of the surgery, as 80% of major vascular injuries and 50% of intestinal injuries occur during this procedure. Laparoscopic first entry is often delegated to trainees with little experience, wrongly assuming that laparoscopic entry is similar to incisional entry at laparotomy. This may result in patient death (mortality of major vascular injuries is 11% and unrecognized intestinal injuries is 5%) or significant temporary or permanent morbidity.

Original language	English (US)
Pages (from-to)	13-19
Number of pages	7
Journal	Best Practice and Research: Clinical Obstetrics and Gynaecology
Volume	35
DOIs	https://doi.org/10.1016/j.bpobgyn.2015.11.005
State	Published - Aug 1 2016

Keywords

first trocar entry
trocar injuries

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.bpobgyn.2015.11.005

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title = "Trocar in conventional laparoscopic and robotic-assisted surgery as a major cause of iatrogenic trauma to the patient",

abstract = "All laparoscopic procedures, laparoscopic or robotic-assisted, start with a trocar entry. Unfortunately unknown to most, this is an extremely important part of the surgery, as 80% of major vascular injuries and 50% of intestinal injuries occur during this procedure. Laparoscopic first entry is often delegated to trainees with little experience, wrongly assuming that laparoscopic entry is similar to incisional entry at laparotomy. This may result in patient death (mortality of major vascular injuries is 11% and unrecognized intestinal injuries is 5%) or significant temporary or permanent morbidity.",

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AU - Santos Siufi, Daniela Freitas

AU - Magrina, Javier F.

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AB - All laparoscopic procedures, laparoscopic or robotic-assisted, start with a trocar entry. Unfortunately unknown to most, this is an extremely important part of the surgery, as 80% of major vascular injuries and 50% of intestinal injuries occur during this procedure. Laparoscopic first entry is often delegated to trainees with little experience, wrongly assuming that laparoscopic entry is similar to incisional entry at laparotomy. This may result in patient death (mortality of major vascular injuries is 11% and unrecognized intestinal injuries is 5%) or significant temporary or permanent morbidity.

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KW - trocar injuries

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ER -

Trocar in conventional laparoscopic and robotic-assisted surgery as a major cause of iatrogenic trauma to the patient

Abstract

Keywords

ASJC Scopus subject areas

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