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

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Fingerprint

Vascular System Injuries
Robotics
Surgical Instruments
Laparoscopy
Wounds and Injuries
Laparotomy
Morbidity
Mortality

Keywords

  • First trocar entry
  • Trocar injuries

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Trocar in conventional laparoscopic and robotic-assisted surgery as a major cause of iatrogenic trauma to the patient. / Siufi Neto, Joao; Santos Siufi, Daniela Freitas; Magrina, Javier F.

In: Best Practice and Research: Clinical Obstetrics and Gynaecology, 2016.

Research output: Contribution to journalArticle

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