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2004, Number 4

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Rev Mex Cir Endoscop 2004; 5 (4)

Utilization of the optical port in various laparoscopic procedures, for the safe creation of the pneumoperitoneum. A multicenter study with 1,372 patients

González AJM, Rojas DO, Torres PJL, Vega BM, Farrera GJ, Contreras RVR, Miranda PLM, González LSF, Alvarado BR, Golffier RCE, Mervitch SN, González VD
Full text How to cite this article

Language: Spanish
References: 42
Page: 182-187
PDF size: 58.76 Kb.


Key words:

Laparoscopic surgery, optical port, pneumoperitoneum.

ABSTRACT

Objectives: Report our experience in laparoscopic procedures using the laparoscope and an optical port as a unit for the abdominal approach.
Design: Prospective, non-comparative, multicentric, longitudinal, observational study with no exclusion for patients with previous abdominal surgery.
Material and methods: During the period of june 1997 - june 2004, 1,372 patients were operated by one laparoscopic surgical group using this approach in third level hospitals of Mexico City, analyzing the following: surgery type, previous abdominal surgery, site and duration of this approach and complications.
Results: The umbilical approach was used for all patients (1,372). Two hundred and eighty eight (21%) had previous abdominal surgery. The average time for this approach was 35 seconds, with no complications.
Conclusions: The use of an optical port and laparoscope as a unit in the laparoscopic abdominal approach is safe, confident, reproducible and easy to perform, reducing complications of blind approaches.


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Rev Mex Cir Endoscop. 2004;5