Re: Blunt versus bladed Trocars in laparoscopic surgery: A systematic review and meta-analysis of randomized trials

摘要

Editorial Comment: The authors analyzed 8 randomized studies that enrolled 720 patients, and compared trocar associated complications with the use of blunt and bladed trocars. The primary outcome measure was risk of abdominal wall trocar site bleeding, and secondary outcomes were risk of vascular or visceral injuries and overall trocar related morbidity._ As expected, the risk of abdominal wall bleeding was threefold greater with bladed trocars (9% vs 3%) and the risk of complications excluding abdominal wall bleeding was also greater (0.7% vs 0.2%), although complications were rare. Use of blunt or dilating trocars for robotic and laparoscopic surgery should be standard.