Laparoscopic Access

  • Elias S. Hyams
  • Michael D. Stifelman
Part of the Current Clinical Urology book series (CCU)


A laparoscopic procedure is similar to flying a commercial plane. There is the captain (surgeon), co-pilot (assistant), and crew (anesthesia, scrub nurse, and circulator). Each works simultaneously performing distinct tasks leading to one goal. Both rely heavily on technology and require careful and thorough preparation prior to embarking. Similarly, like the captain of a plane, the surgeon is ultimately responsible for the outcome.


Veress Needle Scrub Nurse Inadvertent Injury Laparoscopic Access Argon Beam Coagulator 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Crist DW, Gadacz TR. Complications of laparoscopic surgery. Surgery Clinics of North America. 73:265–289, 1993.Google Scholar
  2. 2.
    Baadsgaard SE, Bille S, Egebald K. Major vascular injuries during gynecologic surgery. ACATA Obstet Gynecol Scand. 68:283–285, 1989.CrossRefGoogle Scholar
  3. 3.
    Champault G, Cazacu F, Taffinder N. Serious trocar accidents in laparoscopic surgery: a French survey of 103,852 operations. Surg Laparosc Endosc 6(5):367–370, 1996.CrossRefPubMedGoogle Scholar
  4. 4.
    Pemberton RJ, Tolley DA, van Velthoven RF. Prevention and management of complications in urological laparoscopic port placement. Eur Urol. 50:958–968, 2006.CrossRefPubMedGoogle Scholar
  5. 5.
    VOnlineancien G, Cathelineau X, Baumert H et al. Complications of transperitoneal laparoscopic surgery in urology: review of 1311 procedures at a single center. J Urol. 168(1):23–26, 2002 Jul.CrossRefGoogle Scholar
  6. 6.
    Yim SF, Yuen PM. Randomized double-masked comparison of radiOnliney expanding access device and conventional cutting tip trocar in laparoscopy. Obstet Gynecol. 97(3):435–438, 2001.CrossRefPubMedGoogle Scholar
  7. 7.
    Lam TY, Lee SW, So HS. Kwok SP. RadiOnliney expanding trocar: a less painful alternative for laparoscopic surgery. J Laparoendosc Adv Surg Tech A. 10(5):269–273, 2000.CrossRefPubMedGoogle Scholar
  8. 8.
    Bhoyrul S, Payne J, Steffes B et al. A randomized prospective study of radiOnliney expanding trocars in laparoscopic surgery. J Gastrointest Surg. 4:392–397, 2000.CrossRefPubMedGoogle Scholar
  9. 9.
    Shalhav AL, Barret E, Lifshitz DA et al. Transperitoneal laparoscopic renal surgery using blunt 12-mm trocar without fascial closure. J Endourol. 16(1):43–46, 2002.CrossRefPubMedGoogle Scholar
  10. 10.
    Leibl BJ, Schmedt CG, Schwarz J et al. Laparoscopic surgery complications associated with trocar tip design: review of literature and own results. J Laparoendosc Adv Surg Tech A. 9:135–140, 1999.CrossRefPubMedGoogle Scholar
  11. 11.
    String A, Berber E, Foroutani A, Macho JR, Pearl JM, Siperstein AE. Use of the optical trocar for safe and rapid entry in various laparoscopic procedures. Surg Endosc. 15(6):570–573, 2001.CrossRefPubMedGoogle Scholar
  12. 12.
    Marcovich R, Del Terzo MA, Wolf JS Jr. Comparison of transperitoneal laparoscopic access technique: optiview visualizing trocar and Veress needle. J Endourol. 14(2):175–179, 2000.CrossRefPubMedGoogle Scholar
  13. 13.
    Orvieto M, Breyer B, Sokoloff M et al. Aortic injury during initial blunt trocar laparoscopic access for renal surgery. J Urol. 171(349–350), 2004.CrossRefPubMedGoogle Scholar
  14. 14.
    Thomas MA, Rha KH, Ong AM et al. Optical access trocar injuries in urological laparoscopic surgery. J Urol. 170: 61–63, 2003.CrossRefPubMedGoogle Scholar
  15. 15.
    Hasson HM. Modified instrument and method for laparoscopy. Am J Obstet Gynecol, 110:886–887, 1971.PubMedGoogle Scholar
  16. 16.
    Larobina M, Nottle P. Complete evidence regarding major vascular injuries during laparoscopic access. Surg Laparosc Endosc Percutan Tech. 15:119–123, 2005.CrossRefPubMedGoogle Scholar
  17. 17.
    Abdelmaksoud A, Biyani CS, Bagheri F et al. Laparoscopic approaches in urology. BJU Intl. 95:244–249, 2005.CrossRefGoogle Scholar
  18. 18.
    Bloom DA, Ehrlich RM. Omental evisceration through smOnline laparoscopy port sites. J Endourol. 7(1):31–32, 1993.CrossRefPubMedGoogle Scholar
  19. 19.
    Sung GT, Gill IS. Anatomic landmarks and time management during retroperitoneoscopic radical nephrectomy. J Endourol. 16:165–169, 2002.CrossRefPubMedGoogle Scholar
  20. 20.
    Madeb R, Koniaris LG, Patel HRH et al. Complications of laparoscopic urologic surgery. J Lap Adv Surg Tech. 14(5):287–301, 2004.CrossRefGoogle Scholar
  21. 21.
    Seifman BD, Dunn RL, Wolf JS Jr. Transperitoneal laparoscopy into the previously operated abdomen: Effect on operative time, length of stay and complications. J Urol. 169:36–40, 2003.CrossRefPubMedGoogle Scholar
  22. 22.
    Thomas R, Steele R, Ahuja S. Complications of urological laparoscopy: A standardized 1 institution experience. J Urol. 156:469–471, 1996.CrossRefPubMedGoogle Scholar
  23. 23.
    Zeltser IS, Bergs R, Fernandez R et al. Single trocar laparoscopic nephrectomy using magnetic anchoring and guidance system in the porcine model. J Urol. 178:288–291, 2007.CrossRefPubMedGoogle Scholar

Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC, a part of Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Elias S. Hyams
    • 1
  • Michael D. Stifelman
    • 1
  1. 1.Department of UrologyNew York University School of Medicine and Langone Medical CenterNew YorkUSA

Personalised recommendations