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Improving the ease and safety of laparoscopy: a technique for open insertion of the umbilical trocar.

BACKGROUND
Sharp cannulation of the abdominal cavity for laparoscopy occasionally causes life-threatening injury to major vessels.


METHODS
A technique of open cannulation is described to minimize this risk.


RESULTS
In over 2000 general surgical laparoscopies performed the Flinders Medical Centre, there were no major vessel injuries and only one bowel injury (prior to laparotomy).


CONCLUSIONS
We advocate the use of open technique to minimize injuries caused by abdominal cannulation for laparoscopy.