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World J Surg. 2010 Apr;34(4):765-7. doi: 10.1007/s00268-009-0365-z.

A time-saving technique for specimen extraction in sleeve gastrectomy.

Author information

1
Surgical-Medical Department for Digestive Diseases, Policlinico Umberto I, University of Rome Sapienza, Viale del Policlinico, 00161, Rome, Italy.

Abstract

BACKGROUND:

Laparoscopic sleeve gastrectomy (LSG), first intended as the first step of biliopancreatic diversion with duodenal switch (BPD-DS), is gaining popularity as a per-se procedure because of its effectiveness on weight loss and comorbidity resolution. The extraction of the gastrectomy specimen could be challenging and time-consuming. Different techniques have been described for specimen withdrawal. In this article we report the technique adopted in more than 250 LSGs performed in our department.

METHODS:

In the first 90 LSGs performed in our department from October 2002, the specimen was extracted in a retrieval bag using an endoloop. In the following 160 cases the technique has been simplified: the grasped specimen is withdrawn through the 15-mm trocar site without any additional device.

RESULTS:

We registered only two cases of wound infection (1.2%) with the simplified technique, both occurring in the initial cases. There were no cases of trocar site hernia formation.

CONCLUSION:

The technique described does not require any special devices and seems to be simpler, saves time, and is cost effective if compared with other techniques previously reported.

PMID:
20049436
DOI:
10.1007/s00268-009-0365-z
[Indexed for MEDLINE]

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