The direct trocar technique: an alternative approach to abdominal entry for laparoscopy.

Objective: The direct trocar technique is an alternative to Veress needle insertion and open laparoscopy for accessing the abdominal cavity for operative laparoscopy. We review our approach to abdominal entry in 1385 laparoscopies performed between September 1993 and June 2000 by our group at Stanford University Hospital, a tertiary Medical Center.

Methods: We performed a retrospective chart review of 1385 patients who underwent operative laparoscopy during the study years.