Divide-and-Resect: A Two-Piece Infra-colic Omentectomy Technique

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Gynecologic Oncology

Background:

• Omentectomy is crucial for FIGO staging and cytoreductive surgery in gynecologic malignancies.
• Traditionally performed via laparotomy, minimally invasive techniques offer reduced morbidity and faster recovery.

Purpose of the Study:

• To present a novel laparoscopic technique for omentectomy.
• The technique aims to be safe, straightforward, and effective.

Main Methods:

• Laparoscopic camera placed suprapubically for optimal upper abdominal visualization.
• Omentum divided at midline and dissected medially-to-laterally into left and right segments.
• Controlled traction and clear identification of tissue planes are emphasized.

Main Results:

• The described laparoscopic approach facilitates complete upper abdominal omental resection.
• The technique is both safe and efficient.

Conclusions:

• This novel laparoscopic technique maintains the benefits of minimally invasive surgery.
• It provides a safe and effective method for omentectomy in gynecologic malignancies.