A modified umbilical incision for specimen extraction after laparoscopic abdominal surgery

被引:32
作者
Casciola, L. [2 ]
Codacci-Pisanelli, M. [1 ]
Ceccarelli, G. [3 ]
Bartoli, A. [2 ]
Di Zitti, L. [2 ]
Patriti, A. [2 ]
机构
[1] Univ Roma La Sapienza, Surg Dept Pietro Valdoni, Rome, Italy
[2] Spoleto Hosp, Dept Gen Vasc & Minnvas Surg, Rome, Italy
[3] Spoleto Hosp, Dept Gen Vasc & Minivas Surg, I-06049 Spoleto, Italy
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2008年 / 22卷 / 03期
关键词
auxiliary incision; modified umbilical incision; specimen extraction; laparoscopy; right hemicolectomy; splenectomy; gastrectomy; surgical procedures;
D O I
10.1007/s00464-007-9584-2
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background One advantage of laparoscopic surgery over open surgery is the absence of laparotomic incisions. This advantage is reduced when an auxiliary incision is performed to remove surgical specimens larger than the trocar. Methods A special incision was performed at umbilical trocar level that enabled removal of a large surgical specimen as in right hemicolectomy (colic), gastric resection, and splenic surgery. Results The authors have used this method routinely for 10 years for all cases requiring removal of a surgical specimen too large for the normal incision of a 10-mm trocar. Conclusion The authors maintain that this method avoids the use of auxiliary incisions, which undo the many benefits of laparoscopic surgery.
引用
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页码:784 / 786
页数:3
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