A Simple and Safe Technique in Extracting Specimen after Sleeve Gastrectomy
Adem Yuksel, Murat Coskun
Keywords :
Laparoscopic sleeve gastrectomy, Port hernia, Specimen extraction
Citation Information :
Yuksel A, Coskun M. A Simple and Safe Technique in Extracting Specimen after Sleeve Gastrectomy. World J Lap Surg 2019; 12 (1):1-4.
Introduction: Today, minimally invasive surgery (laparoscopic, robotic) methods are becoming increasingly common. In the procedures in which the resection was performed with a minimally invasive surgical method, specimen removal can be time-consuming and complicated. In this study, we aimed to evaluate the results of laparoscopic sleeve gastrectomy specimens removed from a 12-mm trocar area without additional tools.
Materials and methods: Between January 2016 and December 2017, 129 patients underwent a laparoscopic sleeve gastrectomy for morbid obesity. In all patients, the specimen was removed from the abdomen from a 12-mm trocar area without additional tools.
Results: The mean specimen removal time was 2.38 ± 1.9 minutes. During the follow-up period, no wound infection and trocar hernia were observed in any patient.
Conclusion: The technique applied is minimally invasive, not time-consuming, and simple when compared to other techniques reported.
Lee L, Abou-Khalil M, et al. Incidence of incisional hernia in the specimen extraction site for laparoscopic colorectal surgery: systematic review and meta-analysis. Surg Endosc 2017 Dec;31(12):5083–5093. DOI: 10.1007/s00464-017-5573-2.
Leung AL, Cheung HY, et al. Advances in laparoscopic colorectal surgery: a review on NOTES and transanal extraction of specimen. Asian J Endosc Surg 2014 Jan;7(1):11–16. DOI: 10.1111/ases.12070.
Gagner M, Hutchinson C, et al. Fifth International Consensus Conference: current status of sleeve gastrectomy. Surg Obes Relat Dis 2016 May;12(4):750–756. DOI: 10.1016/j.soard.2016.01.022.
Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement. Am J Clin Nutr 1992 Feb;55(2 Suppl):615S–619S. DOI: 10.1093/ajcn/55. 2.615s.
Cottam D, Qureshi FG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc 2006;20(6):859–863. DOI: 10.1007/s00464-005-0134-5.
Maietta P, Qureshi FG, et al. Retrieval of the gastric specimen following laparoscopic sleeve gastrectomy. Experience on 275 cases. Int J Surg 2016;28(Suppl 1):S124–S127. DOI: 10.1016/j.ijsu.2015.12.057.
Mahmood A, Silbergleit A. The utilization of a morcellator during laparoscopic sleeve gastrectomy. Technol Health Care 2006;14(6): 537–539.
Calin ML. Specimen extraction after laparoscopic sleeve gastrectomy. J Laparoendosc Adv Surg Tech A 2015 Apr;25(4):330. DOI: 10.1089/lap.2014.0648.
Safaan T, Bashah M, et al. Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens: Prevalence, Risk Factors, and Value of Routine Histopathologic Examination. Obes Surg 2017 Jul;27(7): 1741–1749. DOI: 10.1007/s11695-016-2525-1.
Kopach P, Genega EM, et al. The significance of histologic examination of gastrectomy specimens: a clinicopathologic study of 511 cases. Surg Obes Relat Dis 2017 Mar;13(3):463–467. DOI: 10.1016/j.soard.2016.11.011.
Dotai T, Coker AM, et al. Transgastric large-organ extraction: the initial human experience. Surg Endosc 2013 Feb;27(2):394–399. DOI: 10.1007/s00464-012-2473-3.
Shoar S, Aboutaleb S, et al. Comparison of two specimen retrieval techniques in laparoscopic sleeve gastrectomy: what is the role of endobag? Surg Endosc 2017 Dec;31(12):4883–4887. DOI: 10.1007/s00464-017-5434-z.
Gunkova P, Gunka I, et al. Laparoscopic sleeve gastrectomy for morbid obesity with natural orifice specimen extraction (NOSE). Bratisl Lek Listy 2015;116(7):422–425. DOI: 10.4149/BLL_2015_080.
Wang Q, Huang L, et al. Assessment of Port-Specific Pain After Gynecological Laparoscopy: A Prospective Cohort Clinical Trial. J Laparoendosc Adv Surg Tech A 2017 Jun;27(6):597–604. DOI: 10.1089/lap.2016.0340.
Bou Nassif G, Scetbun E, et al. Hand-Over-Hand Grasping Technique: A Fast and Safe Procedure for Specimen Extraction in Laparoscopic Sleeve Gastrectomy. Obes Surg 2017 May;27(5):1391. DOI: 10.1007/s11695-017-2572-2.