Complications of Laparoscopic Access

Abstract

Laparoscopic surgery has many potential benefits for patients, largely because the traditional laparotomy wound is avoided. Laparoscopic surgeons have a responsibility to ensure that when gaining access to the abdominal cavity, they do not impose on the patient a risk of complications that would not occcur if a traditional laparotomy was being used. In achieving access to the abdominal cavity, the surgeon must cause minimal trauma to the abdominal wall and avoid injury to viscera and major vessels. There is no consensus about whether the open access technique is preferable to the use of the Verres needle, which types of trocar and cannula are most suitable, and which precise techniques of insertion should be used. It is very important that the laparoscopic surgeon uses a strict protocol for access to the abdominal cavity that will minimize the risk of injury, and maximize the likelihood that any injury that occurs will be detected at a stage when appropriate remedial measures can be taken. Copyright © 1997 by W. B. Saunders Company