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The safety and economical efficiency of the inexpensive trocar insertion with peritoneal anchoring technique in pediatric laparoscopic surgery Kimio ASAGIRI 1 , Minoru YAGI 1 , Yoshiaki TANAKA 1 , Hirotaka NAKAMIZO 1 , Hidefumi KOBAYASHI 1 , Takahiro ASAKAWA 1 , Akiko KAIDA 1 , Hiroaki TANAKA 1 1Department of Pediatric Surgery, Kurume University, School of Medicine Keyword: 内視鏡下手術 , 医療経費 , トロッカー pp.181-185
Published Date 2009/4/15
DOI https://doi.org/10.11477/mf.4426100316
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 <Purpose>The safety and economical efficiency of the inexpensive trocar insertion with devised technique in the pediatric laparoscopic surgery were reviewer. <Methods>In 2005, the insertion technique of the trocar was modified, adding the peritoneal anchoring stitch at the time of insection. Thirty-four patients were dividet into non-peritoneal anchoring technique group using trocar with safty device(First Group : 8 patients)and peritoneal anchoring technique group(Second Group : 26 patients)using trocar without safty device(LiNa PortTM, Denmark). The mean insertion time and the cost of the trocar were compared between both groups. <Results>The insertion time of a trocar was 6.2 minutes in the First Group, and 2.1 minutes in the Second Group. The cost of the trocar was 12,500 yen in the First Group, and 3,000 yen in the Second Group. <Conclusion>The insertion of the trocar became easier, and inexpensive trocar was used safely since 2005 because of the peritoneal anchoring technique. The modification of the insertion technique made it possible to out down the cost in the pediatric laparoscopic surgery.


Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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