Direct Trocar Insertion for Laparoscopic Cholecystectomy

Abstract

Objective: To determine direct trocar insertion for laparoscopic cholecystectomy.

Study Design: Descriptive / case series study

Place and Duration of Study: This study was conducted at the Pima Al Hajri Hospital, Muzaffarabad from November, 2016 to November, 2017.

Materials and Methods: Total 100 patients who underwent elective laparoscopic cholecystectomy were included in the study and the technique used to create pneumoperitoneum was direct insertion of the trocar in all the patients. The injuries were classified as minor or major, depending on there ability to significantly affect the surgical procedure and eventual outcome. The injuries were assessed for upto six months follow up.

Results: Creation of the pneumoperitoneum with direct trocar insertion (DTI) was successful in 100% (n=100)  patients. No major complication was encountered during the study. Immediate minor post-operative complications like wound infection 0.5% (n=1) and hematomas 1.5% (n=3) were infrequent.

Conclusion: This study shows that DTI is a safe and effective alternative for creation of pneumoperitoneum in laparoscopic cholecystectomy.