Experience with direct trocar insertion in 260 patients undergoing laparoscopic cholecystectom

Abstract

Background: The establishment of pneumoperitoneum is a sine qua non for the performance of laparoscopic procedures. There are several methods of achieving this including direct trocar insertion (DTI).
Aims/Objectives: The aim of this study is to share our experience with DTI and to describe the procedure. The specific objectives are to determine the success and complication rates of DTI.
Methods: This is a retrospective study over a 4year period. The records of 260 consecutive patients who had laparoscopic  cholecystectomy using DTI as the initial entry technique for establishing pneumoperitoneum were analyzed.
Results: A total of 260 patients were studied comprising 260 females and 30 males. The age range was 20 to 70 years with a mean age of 38years. The success rate was 98.5%. No complications were recorded.

Conclusion: DTI is easy to perform, safe, has high success rate and a low complication rate. It is a worthy alternative to other well- established techniques for initial entry and pneumoperitoneum.