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Updated: Jun 17, 2026

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

Giovanni Casella1, Emanuele Soricelli, Aldo Fantini

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

World Journal of Surgery
|January 6, 2010
PubMed
Summary

A simplified technique for laparoscopic sleeve gastrectomy (LSG) specimen removal is effective and safe. This method avoids retrieval bags and endoloops, reducing complications and costs for bariatric surgery patients.

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Area of Science:

  • Bariatric Surgery
  • Minimally Invasive Surgery
  • Surgical Techniques

Background:

  • Laparoscopic sleeve gastrectomy (LSG) is increasingly performed as a standalone procedure for weight loss and comorbidity resolution.
  • Specimen extraction during LSG can be complex and lengthy.
  • Various methods exist for removing the gastrectomy specimen.

Purpose of the Study:

  • To report a simplified technique for laparoscopic sleeve gastrectomy specimen withdrawal.
  • To evaluate the safety and efficacy of this simplified method.

Main Methods:

  • The study involved over 250 LSG procedures.
  • Initially, 90 cases used a retrieval bag with an endoloop for specimen extraction.
  • A simplified technique was adopted for the subsequent 160 cases, involving direct withdrawal of the specimen through a 15-mm trocar site without additional devices.

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Main Results:

  • The simplified technique resulted in only two cases (1.2%) of wound infection, both in the early phase of its implementation.
  • No instances of trocar site hernia formation were observed with the simplified technique.

Conclusions:

  • The described technique for LSG specimen removal is simpler and more time-efficient.
  • It eliminates the need for specialized retrieval devices, making it cost-effective compared to other reported methods.
  • The technique appears safe and effective for laparoscopic sleeve gastrectomy.