Laparoscopy is a modern operative technique to perform abdominal surgery through small incisions in the skin. Trocars are used to gain access to the abdominal organs through the skin.
Researchers identified seven randomized controlled studies that compared two or more different trocar types in 654 people undergoing laparoscopy. The evidence is current to May 2015.
There appears to be no advantage from one trocar type over another for serious complications, which include visceral and vascular injury. Most of the results are based on very low quality evidence, mostly due to the limited number of studies identified and the low number of complications. Therefore, no specific trocar type can be recommended over another for laparoscopic surgery.
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