Abstract
BackgroundA 1 mm minilaparoscope (Lifeline Biotechnoligies, Florida, USA) was assessed for aiding port site insertions.MethodsTen consecutive patients having laparoscopic procedures in a gynaecological oncology unit were included. Minilaparoscopy was feasible in all cases and was used to insert the umbilical port under direct vision in all patients. In one case, a thick band of abdominal adhesions was identified and a further lateral port site was inserted to aid their dissection.ResultsThe minilaparoscope correctly identified all 10 patients with peritoneal disease and identified all patients who were suitable for debulking procedures.ConclusionMinilaparoscopy with the 1 mm endoscope appears to be safe and accurate and we feel that it has a place in helping the surgeon identify adhesions and peritoneal disease as well as assisting further port site insertion safely and with minimal complications.
Highlights
A 1 mm minilaparoscope (Lifeline Biotechnoligies, Florida, USA) was assessed for aiding port site insertions
Mini laparoscopes have been used to assist port site insertion [2], we describe the use of a new 1 mm mini-laparoscope (Ovascope, Lifeline Biotechnoligies, Florida, USA) to assist primary trocar insertion during gynaecological oncology surgery
Five patients (50%) had laparoscopy to assess suitability of debulking for ovarian cancer
Summary
A 1 mm minilaparoscope (Lifeline Biotechnoligies, Florida, USA) was assessed for aiding port site insertions. Laparoscopy can be associated with a risk of visceral damage during primary trocar insertion [1]. This is so in oncology cases where there are likely to be adhesions and peritoneal malignancy. Microendoscopes work by transmitting light through fiberoptic bundles rather than the rigid lens-based system of traditional endoscopes. Mini laparoscopes have been used to assist port site insertion [2], we describe the use of a new 1 mm mini-laparoscope (Ovascope, Lifeline Biotechnoligies, Florida, USA) to assist primary trocar insertion during gynaecological oncology surgery
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