Transumbilical surgical specimen retrieval: a viable refinement of laparoscopic surgery for pelvic masses

被引:24
作者
Ghezzi, F. [1 ]
Cromi, A. [1 ]
Uccella, S. [1 ]
Siesto, G. [1 ]
Bergamini, V. [2 ]
Bolis, P. [1 ]
机构
[1] Univ Insubria, Dept Obstet & Gynecol, I-21100 Varese, Italy
[2] Univ Verona, Dept Obstet & Gynecol, I-37100 Verona, Italy
关键词
adnexal mass; incisional hernia; laparoscopy; port size; surgical specimen retrieval; transumbilical specimen extraction;
D O I
10.1111/j.1471-0528.2008.01802.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The purpose of this study was to evaluate the feasibility and surgical outcome of a policy of routine specimen retrieval through the umbilical port, avoiding the enlargement of ancillary port-site incisions. A total of 1116 women underwent laparoscopic surgery for the treatment of a pelvic mass with extraction of the specimen through the umbilical port site (a total of 1453 retrieval procedures). All retrieval procedures were successfully carried out with this technique. Neither intraoperative complication related to the retrieval procedure nor accidental rupture of the endoscopic bag occurred. There was an injury to the epigastric artery. Neither trocar-site hernias (both umbilical trocar insertion sites and extraumbilical sites) nor port-site metastases occurred.
引用
收藏
页码:1316 / 1320
页数:5
相关论文
共 6 条
[1]   INCISIONAL BOWEL HERNIATIONS AFTER OPERATIVE LAPAROSCOPY - A SERIES OF 19 CASES AND REVIEW OF THE LITERATURE [J].
BOIKE, GM ;
MILLER, CE ;
SPIRTOS, NM ;
MERCER, LJ ;
FOWLER, JM ;
SUMMITT, R ;
ORR, JW .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 172 (06) :1726-1733
[2]   One-trocar salpingectomy for the treatment of tubal pregnancy: a 'marionette-like' technique [J].
Ghezzi, F ;
Cromi, A ;
Fasola, M ;
Bolis, P .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2005, 112 (10) :1417-1419
[3]   Complications of laparoscopy: A prospective multicentre observational study [J].
Jansen, FW ;
Kapiteyn, K ;
TrimbosKemper, T ;
Hermans, J ;
Trimbos, JB .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1997, 104 (05) :595-600
[4]   INCISIONAL HERNIAS AFTER MAJOR LAPAROSCOPIC GYNECOLOGIC PROCEDURES [J].
KADAR, N ;
REICH, H ;
LIU, CY ;
MANKO, GF ;
GIMPELSON, R .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 168 (05) :1493-1495
[5]   A simple, inexpensive method of specimen removal at laparoscopy [J].
Mashiach, R ;
Mashiach, S ;
Szold, A ;
Lessing, JB .
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 2002, 9 (02) :214-216
[6]  
ZAKI H, 1995, GYNAECOL ENDOSC, V4, P251