The Sakarya Technique for Safer Laparoscopic Access

Background: Abdominal access is the crucial step for laparoscopic surgery, and there is no consensus for the ideal technique for initial trocar placement. We aim to introduce our new technique used for safe initial entry to create pneumoperitoneum in transabdominal laparoscopic surgery and compare it with the Veress needle technique. Methods: We retrospectively reviewed 317 consecutive patients who underwent urological laparoscopic surgery between January 2016 and January 2025. For the initial trocar insertion, 98 patients with the Veress needle technique and 182 patients with our Sakarya technique were included in the study. All procedures were performed by a single experienced surgeon. Patients' characteristics, time from skin incision to camera entry, gas leakage, and complications were recorded. Results: < .001). Conclusions: The Sakarya technique is an easy, safe, and fast method for initial trocar insertion in laparoscopic surgery.