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A modified umbilical incision for specimen extraction after laparoscopic abdominal surgery
L Casciola1, M Codacci-Pisanelli, G Ceccarelli
1Department of General, Vascular and Mininvasive Surgery, Spoleto Hospital, Roma, Italy.
Surgical Endoscopy
|October 19, 2007
Summary
Laparoscopic surgery benefits are maintained by a novel umbilical incision technique for removing large specimens. This method avoids extra incisions, preserving the advantages of minimally invasive procedures.
Area of Science:
- Minimally invasive surgery
- Surgical techniques
Background:
- Laparoscopic surgery offers advantages over open surgery due to the absence of laparotomic incisions.
- The need for auxiliary incisions to remove large specimens compromises these benefits.
Purpose of the Study:
- To present a specialized umbilical incision technique for laparoscopic specimen retrieval.
- To maintain the benefits of laparoscopic surgery when removing large specimens.
Main Methods:
- A specific incision at the umbilical trocar site was developed.
- This technique facilitates the removal of large surgical specimens, including those from right hemicolectomy, gastric resection, and splenic surgery.
Main Results:
- The described method has been used routinely for 10 years.
- It successfully enables the removal of surgical specimens too large for standard 10-mm trocar incisions.
Conclusions:
- This technique effectively avoids auxiliary incisions.
- It preserves the numerous advantages of laparoscopic surgery by enabling large specimen retrieval through a single, specialized incision.