Laparoscopic sigmoid resection with transrectal specimen extraction has a good short-term outcome

Area of Science:

• Minimally invasive surgery
• Colorectal surgery
• Surgical techniques

Background:

• Transrectal specimen extraction offers an alternative to muscle-split incisions for specimen retrieval during laparoscopic sigmoid resection.
• This approach aims to reduce surgical trauma and improve patient recovery.

Purpose of the Study:

• To describe the technique for transrectal specimen extraction in laparoscopic sigmoid resection.
• To evaluate the feasibility and short-term outcomes of this technique in a pilot study.

Main Methods:

• An observational study included consecutive patients undergoing laparoscopic sigmoid resection with transrectal specimen extraction.
• Data on preoperative, operative, and postoperative outcomes were collected.
• A specimen retrieval pouch was utilized to facilitate extraction.

Main Results:

• The technique was applied to 21 patients, with a median age of 41 years and 90% women.
• Common indications included endometriosis (62%), diverticular disease (24%), and tumors (14%).
• The procedure demonstrated a median operating time of 105 minutes, minimal blood loss, and a low complication rate (one anastomotic leak).

Conclusions:

• Laparoscopic sigmoid resection with transrectal specimen extraction is a feasible surgical option.
• The technique is associated with good short-term outcomes, including no temporary stomas or postoperative mortality.