Comparative Study of Open & Close Technique of Trocar Insertion for Elective Laparoscopic Cholecystectomy
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2018, Vol 1, Issue 5
Abstract
Introduction: There are mainly two techniques by which first trocar can be inserted. First is the close technique; where a spring loaded verses needle is placed intra abdominally without the aid of direct vision and then trocar is placed blindly after creation of pneumoperitoneum. Second is the open technique where under direct vision a blunt tipped trocar is introduced into the peritoneal cavity Aims and objectives: The aim of our study was to compare the open and close technique of trocar insertion in terms of technique of insertion, patient’s safety, intra operative complications and post-operative complications. Material and Methods: The present study was carried out in surgery department of Jawaharlal Nehru medical college, Bhagalpur. The study was carried out from January 2014 to October 2017. A total of one hundred patients undergoing elective laparoscopic cholecystectomy were included in our study. Case records of patients was recorded in the Performa containing demographic details, size and site of trocar insertion, technique of trocar insertion, intra operative, early post operative and late post operative complications were noted. Results: Out of 100 patients enrolled mean age was 31.67±16.34. Out of 100 patients in the study; 35 (35%) were Male and 65 (65%) were Female. In terms of on table complications; CO2 leakage is more in open technique of trocar insertion. Gastrointestinal injury is more in close method of trocar insertion. In terms of post- operative complications; wound infection was common in open insertion technique. Conclusion: We would prefer the open technique of trocar insertion as a technique of choice in primary trocar insertion as it counts more on patient safety as compared to the close technique.
Authors and Affiliations
Dr. Jai Prakash Sinha
Keywords
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