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Endoscopic omental harvest

Y Kamei1, S Torii, T Hasegawa

  • 1Department of Plastic and Reconstructive Surgery, Nagoya University School of Medicine, Japan.

Plastic and Reconstructive Surgery
|December 19, 1998
PubMed
Summary
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Endoscopic omental harvest allows for reconstructive surgery without open laparotomy, resulting in smaller scars and faster recovery. This minimally invasive technique, though time-consuming, offers significant advantages for patients needing omental flaps.

Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Reconstructive Surgery

Background:

  • Omental flaps are valuable in reconstructive surgery.
  • Traditional omental flap harvesting requires laparotomy, a major open surgical procedure.
  • Minimally invasive techniques offer potential advantages over open surgery.

Purpose of the Study:

  • To describe a novel endoscopic technique for harvesting an omental flap.
  • To evaluate the feasibility and initial outcomes of endoscopic omental harvest.
  • To compare endoscopic omental harvest with traditional methods.

Main Methods:

  • Endoscopic omental harvest was performed in two patients.
  • A specific port placement strategy was utilized (two right rectus, one left rectus, one infraumbilical).

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  • The procedure involved stomach suspension, dissection of gastric rami, and meticulous division of gastroepiploic vessels.

    • Main Results:

    • The endoscopic omental harvest was successfully completed in both patients.
    • The omentum was dissected along the transverse colon and transferred using right gastroepiploic vessels.
    • Advantages included inconspicuous scars, minimal pain, and early recovery, while procedure time was prolonged.

    Conclusions:

    • Endoscopic omental harvest is a viable alternative to laparotomy for reconstructive surgery.
    • Current limitations include longer procedure times and challenges with left-sided harvest.
    • Future advancements are expected to overcome existing limitations, enhancing the utility of this technique.