Open Access Technique in Laparoscopic Surgery - our experience of initial 100 cases

Abstract

Aim: To evaluate the safety and efficacy of open access technique in laparoscopic surgery. Design: Retrospective study of one hundred patients who underwent laparoscopic surgery. Setting: Avicenna medical college and allied hospitals Lahore. Methods: One hundred consecutive patients from June 2016-july 2017, who had laparoscopic cholecystectomy at Avicenna medical college hospitals were included in this study. All patients had open first port entry before creating pneumoperitoneum. Patients were evaluated for success / failure, time taken to create pneumoperitoneum of 12mmHg pressure and complications of open access technique. Results: Open first port entry was successful in all except one patient to create complete pneumoperitoneum. Average time taken was 4 minutes and 45 seconds. No incidence of bowel, vascular and omental injury was noted. Gas leak around port occurred in 12 cases. Conclusion: Open access technique for first port insertion in laparoscopic surgery is a safe and effective method with very low complication rate.