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Gasless Laparoscopic Surgery Using a New Intra-abdominal Fan Retractor System: An Experience of 500 Cases

Shigeo Akira, Takashi Abe, Kenji Igarashi, Yayoi Nishi, Keisuke Kurose, Michiaki Watanabe and Toshiyuki Takeshita

Department of Obstetrics and Gynecology, Nippon Medical School

Aim: The aim of this study is to report the feasibility of a newly developed intra-abdominal fan retractor system for use in gynecologic laparoscopic surgery.
Methods: Five hundred women undergoing gasless laparoscopic surgery using the abdominal wall lifting device were included in the study. The intraoperative and postoperative courses, and complications were examined.
Results: The intra-abdominal retractor system provided adequate exposure in all cases, except for one patient with morbid obesity. Neither the presence of the intra-abdominal retractor blades nor the mechanical arm interfered with the placement of instruments during surgery. No complications related to the use of gasless laparoscopy were encountered in this study period.
Conclusion: The new intra-abdominal fan retractor system is feasible in gynecologic laparoscopic surgery.

J Nippon Med Sch 2005; 72: 213-216

Keywords
complications, gasless laparoscopy, laparoscopic surgery, pneumoperitoneum, abdominal wall lifting device

Correspondence to
Shigeo Akira, Department of Obstetrics and Gynecology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
s-akira@nms.ac.jp

Received, December 21, 2004
Accepted, March 15, 2005