Avoiding major vessel injury during laparoscopic instrument insertion.

Journal Article (Journal Article;Review)

Major vessel injuries during laparoscopy most commonly occur during insertion of Veress needle and port trocars through the abdominal wall. This article reviews methods for avoiding major vessel injury while gaining laparoscopic access, including anatomic relationships of abdominal wall landmarks to the major retroperitoneal vessels. Methods for periumbilical placement of the Veress needle and primary trocar are reviewed in terms of direction and angle of insertion, and alternative methods and locations are discussed. Methods for secondary port placement are reviewed in terms of direction, depth, and speed of placement.

Full Text

Duke Authors

Cited Authors

  • Pickett, SD; Rodewald, KJ; Billow, MR; Giannios, NM; Hurd, WW

Published Date

  • September 2010

Published In

Volume / Issue

  • 37 / 3

Start / End Page

  • 387 - 397

PubMed ID

  • 20674782

Electronic International Standard Serial Number (EISSN)

  • 1558-0474

Digital Object Identifier (DOI)

  • 10.1016/j.ogc.2010.05.002


  • eng

Conference Location

  • United States