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Volume 8, Issue 4, August 2020, Page: 109-113
Laparoscopic Access Techniques: Experience in a Developing Country, Sudan
Mohanned Omer Abass, Department of Surgery, Faculty of Medicine, Shendi University, Shendi, Sudan
Elssayed Osman Elssayed, Department of Surgery, Faculty of Medicine, Shendi University, Shendi, Sudan
Abdelrahman Babekir Mhammed, Department of Surgery, Faculty of Medicine, Shendi University, Shendi, Sudan
Received: May 6, 2020;       Accepted: May 26, 2020;       Published: Jun. 16, 2020
DOI: 10.11648/j.js.20200804.12      View  35      Downloads  23
Abstract
Background: Minimal access surgery has revolutionized the field of surgery. Access to the abdominal cavity represents a critical step in laparoscopic procedures. Various techniques have been used to obtain safe access into the abdominal cavity, with no apparent superiority of one technique over another. Aim: This study was conducted to assess the different types of laparoscopic access techniques used at Almak Nimir University Hospital in the period from January to December 2019. Methodology: This descriptive cross-sectional study compared the use and outcomes of different laparoscopic access techniques in various laparoscopic procedures performed at Almak Nimir University Hospital, (Shendi University, Shendi, Sudan). Results: The study included 324 patients with a mean age of 26.2±15.3 years (range 1–85 years). Most of the patients were female (266 patients, 82.1%). Of the laparoscopic procedures, 77.2% were laparoscopic appendicectomy while 18.8% were laparoscopic cholecystectomy. The Veress needle technique was used in 158 patients (49.7%), the open technique was used in 97 patients (29.9%) and direct trocar insertion was used in 66 patients (20.4%). Direct trocar insertion showed a statistically shorter procedure duration (mean 2.9±0.9 min) compared to the other techniques (p=0.001). Access-related complications occurred in five patients (0.6%), but there was no statistically significant difference between the three access techniques. Conclusion: This study confirms the safety of various access techniques used in laparoscopic procedures; however, the choice of access type should be individualized.
Keywords
Laparoscopic Access, Veress Needle, Blind Trocar Insertion, Open, Pneumoperitoneum
To cite this article
Mohanned Omer Abass, Elssayed Osman Elssayed, Abdelrahman Babekir Mhammed, Laparoscopic Access Techniques: Experience in a Developing Country, Sudan, Journal of Surgery. Vol. 8, No. 4, 2020, pp. 109-113. doi: 10.11648/j.js.20200804.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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