Comparison of two methods of laparoscopic trocar insertion (Hasson and Visiport) in terms of speed and complication in urologic surgery.

Mehrdad Mohammadi,Matin Shirani,Behnam Shakiba

doi:10.1051/bmdcn/2018080422

Abstract

Background: Nowadays, diverse approaches have been existed for laparoscopic procedures. The most common laparoscopic entry methods included close and direct entry laparoscopy and open (Hasson) laparoscopy. There is no evidence regarding the superiority in safety and initial speed for the use of open and optical laparoscopic entry. Therefore, the sight of current study was to evaluate comparative survey of two methods of laparoscopic trocar insertion (Hasson and VisiportTM) in terms of speed and complications in urologic surgery.Methods: This expertized base clinical trial study was conducted on 100 patients who underwent urological laparoscopy in Alzahra Hospital, Isfahan, Iran. These patients were randomly divided to two groups (n = 50). One group underwent open laparoscopy and another group Visiport optical trocar. Speed and Complications of urologic surgery was extracted from medical records. Independent T test was used for doing of analysis.Results: The mean age of patients in Hasson and Visiport laparoscopic group was 41.4 ± 11.2 and 41.6 ± 15 years old, respectively (p = 0.91). The mean time for initial trocar placement in patients who underwent Visiport trocar system and Hasson laparoscopic technique was 37.7 ± 15.59 and 95.4 ± 31.75 seconds. There was gratifying difference between two techniques of laparoscopic trocar insertion (Hasson and Visiport) in terms of speed (p = 0.000). In addition, complications were observed in 8% of patients who underwent Visiport trocar system. However, no complications were observed in Hasson laparoscopy group.Conclusion: Visiport optical trocar technique is faster for initial trocar placement than open laparoscopy. However it is associated with complications compared to open laparoscopy. Therefore, there is evidence of benefit in terms of speed for initial trocar placement and harm based on complications in Visiport trocar system.

Highlights

In Laparoscopy technique, we evaluate the abdominal cavity [1,2,3,4,5,6,7,8,9,10]
The mean time at the initial entry in patients who underwent Visiport laparoscopic visual trocar was lower than patients who underwent open laparoscopic treatment. It shows that Visiport laparoscopic trocar is performed faster than open laparoscopy
Complications of Visiport trocar system included subcutaneous emphysema, trocar site infection, mild liver damage and small vessel damage which were observed in 8% of patients, while, no complications were observed in Hasson laparoscopy group

Summary

Introduction

In Laparoscopy technique, we evaluate the abdominal cavity [1,2,3,4,5,6,7,8,9,10]. It needs insertion of a cannula to visualize the abdomen's cavity with an illuminated telescope [11]. A significant alteration was observed in laparoscopic methods in the United Kingdom and international places [14,15,16,17,18] It has diverse benefits such as lower coherence risk and faster recovery time after hospitalization. The sight of current study was to evaluate comparative survey of two methods of laparoscopic trocar insertion (Hasson and VisiportTM) in terms of speed and complications in urologic surgery. Methods: This expertized base clinical trial study was conducted on 100 patients who underwent urological laparoscopy in Alzahra Hospital, Isfahan, Iran. The mean time for initial trocar placement in patients who underwent Visiport trocar system and Hasson laparoscopic technique was 37.7 ± 15.59 and 95.4 ± 31.75 seconds. There is evidence of benefit in terms of speed for initial trocar placement and harm based on complications in Visiport trocar system

Methods

Results

Conclusion