Laparoscopic Access Techniques: Experience in a Developing Country, Sudan

Mohanned Omer Abass; Elssayed Osman Elssayed; Abdelrahman Babekir Mhammed

doi:doi:10.11648/j.js.20200804.12

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Laparoscopic Access Techniques: Experience in a Developing Country, Sudan

Mohanned Omer Abass, Elssayed Osman Elssayed, Abdelrahman Babekir Mhammed

Published in Journal of Surgery (Volume 8, Issue 4)

Received: 6 May 2020 Accepted: 26 May 2020 Published: 16 June 2020

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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.

Published in	Journal of Surgery (Volume 8, Issue 4)
DOI	10.11648/j.js.20200804.12
Page(s)	109-113
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Laparoscopic Access, Veress Needle, Blind Trocar Insertion, Open, Pneumoperitoneum

References

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APA Style

Mohanned Omer Abass, Elssayed Osman Elssayed, Abdelrahman Babekir Mhammed. (2020). Laparoscopic Access Techniques: Experience in a Developing Country, Sudan. Journal of Surgery, 8(4), 109-113. https://doi.org/10.11648/j.js.20200804.12

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ACS Style

Mohanned Omer Abass; Elssayed Osman Elssayed; Abdelrahman Babekir Mhammed. Laparoscopic Access Techniques: Experience in a Developing Country, Sudan. J. Surg. 2020, 8(4), 109-113. doi: 10.11648/j.js.20200804.12

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AMA Style

Mohanned Omer Abass, Elssayed Osman Elssayed, Abdelrahman Babekir Mhammed. Laparoscopic Access Techniques: Experience in a Developing Country, Sudan. J Surg. 2020;8(4):109-113. doi: 10.11648/j.js.20200804.12

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@article{10.11648/j.js.20200804.12,
  author = {Mohanned Omer Abass and Elssayed Osman Elssayed and Abdelrahman Babekir Mhammed},
  title = {Laparoscopic Access Techniques: Experience in a Developing Country, Sudan},
  journal = {Journal of Surgery},
  volume = {8},
  number = {4},
  pages = {109-113},
  doi = {10.11648/j.js.20200804.12},
  url = {https://doi.org/10.11648/j.js.20200804.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200804.12},
  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.},
 year = {2020}
}

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TY - JOUR
T1 - Laparoscopic Access Techniques: Experience in a Developing Country, Sudan
AU - Mohanned Omer Abass
AU - Elssayed Osman Elssayed
AU - Abdelrahman Babekir Mhammed
Y1 - 2020/06/16
PY - 2020
N1 - https://doi.org/10.11648/j.js.20200804.12
DO - 10.11648/j.js.20200804.12
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 109
EP - 113
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20200804.12
AB - 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.
VL - 8
IS - 4
ER -

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Author Information

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

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APA Style

Mohanned Omer Abass, Elssayed Osman Elssayed, Abdelrahman Babekir Mhammed. (2020). Laparoscopic Access Techniques: Experience in a Developing Country, Sudan. Journal of Surgery, 8(4), 109-113. https://doi.org/10.11648/j.js.20200804.12

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ACS Style

Mohanned Omer Abass; Elssayed Osman Elssayed; Abdelrahman Babekir Mhammed. Laparoscopic Access Techniques: Experience in a Developing Country, Sudan. J. Surg. 2020, 8(4), 109-113. doi: 10.11648/j.js.20200804.12

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AMA Style

Mohanned Omer Abass, Elssayed Osman Elssayed, Abdelrahman Babekir Mhammed. Laparoscopic Access Techniques: Experience in a Developing Country, Sudan. J Surg. 2020;8(4):109-113. doi: 10.11648/j.js.20200804.12

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@article{10.11648/j.js.20200804.12,
  author = {Mohanned Omer Abass and Elssayed Osman Elssayed and Abdelrahman Babekir Mhammed},
  title = {Laparoscopic Access Techniques: Experience in a Developing Country, Sudan},
  journal = {Journal of Surgery},
  volume = {8},
  number = {4},
  pages = {109-113},
  doi = {10.11648/j.js.20200804.12},
  url = {https://doi.org/10.11648/j.js.20200804.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200804.12},
  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.},
 year = {2020}
}

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