Comparison of Direct Trocar Entry and Veress Needle Entry in Laparoscopic Bariatric Surgery: Randomized Controlled Trial

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dc.authoridTolan, Huseyin kerem/0000-0002-0845-8820
dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridKaragul, Servet/0000-0003-1964-2516
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidTolan, Huseyin kerem/HJP-5645-2023
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidKaragul, Servet/K-3020-2015
dc.contributor.authorErtugrul, Ismail
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorYagci, Mehmet Ali
dc.contributor.authorSumer, Fatih
dc.contributor.authorKaragul, Servet
dc.contributor.authorTolan, Kerem
dc.date.accessioned2024-08-04T20:41:19Z
dc.date.available2024-08-04T20:41:19Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: We aimed to compare the direct trocar insertion (DTI) and Veress needle insertion (VNI) techniques in laparoscopic bariatric surgery. Materials and Methods: Eighty-one patients scheduled for bariatric surgery at Inonu University, Malatya, Turkey, were included in this study. In 39 patients, a bladed retractable nonoptical trocar was used for DTI, and VNI was performed in 42 patients. Intraoperative access-related parameters were compared. Data were analyzed with Student's t and chi-squared tests. A P value of <.05 was considered significant. Results: Both groups had comparable demographic profiles. Laparoscopic entry time was shorter in the DTI group (79.6 +/- 94.6 versus 217.6 +/- 111.0 seconds; P < .0001). Successful entry rates in the first attempt, CO2 consumptions, failed attempt rates, and overall intraoperative complication rates were similar. However, in the DTI group, 2 patients had mesenteric injuries, and 1 of them required conversion to open surgery due to the mesenteric hemorrhage. Conclusions: DTI in obese patients significantly shortens the entry time, but there can be severe complications with DTI when a nonoptical bladed trocar is used blindly. Actually, neither method can be recommended for entry into the abdomen in this population based on our results. If the surgeon has to choose a nonoptical trocar in bariatric surgery, preference for the VNI technique instead of the DTI technique is safer.en_US
dc.identifier.doi10.1089/lap.2015.0317
dc.identifier.endpage879en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue11en_US
dc.identifier.pmid26397834en_US
dc.identifier.scopus2-s2.0-84947584591en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage875en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2015.0317
dc.identifier.urihttps://hdl.handle.net/11616/97059
dc.identifier.volume25en_US
dc.identifier.wosWOS:000364766300002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectInsertion Techniqueen_US
dc.subjectPneumoperitoneumen_US
dc.subjectEfficacyen_US
dc.subjectAccessen_US
dc.subjectSafetyen_US
dc.titleComparison of Direct Trocar Entry and Veress Needle Entry in Laparoscopic Bariatric Surgery: Randomized Controlled Trialen_US
dc.typeArticleen_US

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