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Transumbilical Retrieval of Surgical Specimens Through a Multichannel Port
BACKGROUND: Laparoscopic surgery is often used to excise adnexal masses; however, the retrieval of specimens such as large cystic masses through conventional 5- or 10-mm ports is difficult and time-consuming. We compared outcomes between conventional laparoscopic surgery for adnexal masses and trans...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4232406/ https://www.ncbi.nlm.nih.gov/pubmed/25408603 http://dx.doi.org/10.4293/JSLS.2014.00178 |
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author | Yi, Sang Wook Ju, Da Hye Lee, Sang Soo Sohn, Woo Seok |
author_facet | Yi, Sang Wook Ju, Da Hye Lee, Sang Soo Sohn, Woo Seok |
author_sort | Yi, Sang Wook |
collection | PubMed |
description | BACKGROUND: Laparoscopic surgery is often used to excise adnexal masses; however, the retrieval of specimens such as large cystic masses through conventional 5- or 10-mm ports is difficult and time-consuming. We compared outcomes between conventional laparoscopic surgery for adnexal masses and transumbilical specimen retrieval through a multichannel port during single- or 2-port laparoscopy. METHODS: A total of 341 patients who underwent laparoscopic surgery for adnexal masses from November 2006 to December 2010 were included. The patients were divided into 2 groups: group I consisted of 249 patients who underwent conventional laparoscopy, and group II consisted of 92 patients who underwent single- or 2-port laparoscopy using a multichannel port. The clinical characteristics and operative outcomes of the 2 groups were compared. RESULTS: The mean operation time was 51.8 ± 21.5 minutes in group I and 57.2 ± 23.9 minutes in group II. The mean specimen retrieval time was longer in group I (2.9 ± 4.0 minutes) than in group II (2.2 ± 1.8 minutes). Endoscopic bag rupture during specimen retrieval occurred in 11 patients in group I and in no patients in group II. CONCLUSIONS: The transumbilical retrieval of surgical specimens through a multichannel port with a wound retractor was safe and did not result in leakage of the cystic contents. This technique reduced the specimen retrieval time, especially for large masses. However, the mean operation time was not shortened with this procedure, because of the learning period and the time required to prepare the umbilical multichannel port. |
format | Online Article Text |
id | pubmed-4232406 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-42324062014-11-18 Transumbilical Retrieval of Surgical Specimens Through a Multichannel Port Yi, Sang Wook Ju, Da Hye Lee, Sang Soo Sohn, Woo Seok JSLS Scientific Papers BACKGROUND: Laparoscopic surgery is often used to excise adnexal masses; however, the retrieval of specimens such as large cystic masses through conventional 5- or 10-mm ports is difficult and time-consuming. We compared outcomes between conventional laparoscopic surgery for adnexal masses and transumbilical specimen retrieval through a multichannel port during single- or 2-port laparoscopy. METHODS: A total of 341 patients who underwent laparoscopic surgery for adnexal masses from November 2006 to December 2010 were included. The patients were divided into 2 groups: group I consisted of 249 patients who underwent conventional laparoscopy, and group II consisted of 92 patients who underwent single- or 2-port laparoscopy using a multichannel port. The clinical characteristics and operative outcomes of the 2 groups were compared. RESULTS: The mean operation time was 51.8 ± 21.5 minutes in group I and 57.2 ± 23.9 minutes in group II. The mean specimen retrieval time was longer in group I (2.9 ± 4.0 minutes) than in group II (2.2 ± 1.8 minutes). Endoscopic bag rupture during specimen retrieval occurred in 11 patients in group I and in no patients in group II. CONCLUSIONS: The transumbilical retrieval of surgical specimens through a multichannel port with a wound retractor was safe and did not result in leakage of the cystic contents. This technique reduced the specimen retrieval time, especially for large masses. However, the mean operation time was not shortened with this procedure, because of the learning period and the time required to prepare the umbilical multichannel port. Society of Laparoendoscopic Surgeons 2014 /pmc/articles/PMC4232406/ /pubmed/25408603 http://dx.doi.org/10.4293/JSLS.2014.00178 Text en © 2014 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Yi, Sang Wook Ju, Da Hye Lee, Sang Soo Sohn, Woo Seok Transumbilical Retrieval of Surgical Specimens Through a Multichannel Port |
title | Transumbilical Retrieval of Surgical Specimens Through a Multichannel Port |
title_full | Transumbilical Retrieval of Surgical Specimens Through a Multichannel Port |
title_fullStr | Transumbilical Retrieval of Surgical Specimens Through a Multichannel Port |
title_full_unstemmed | Transumbilical Retrieval of Surgical Specimens Through a Multichannel Port |
title_short | Transumbilical Retrieval of Surgical Specimens Through a Multichannel Port |
title_sort | transumbilical retrieval of surgical specimens through a multichannel port |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4232406/ https://www.ncbi.nlm.nih.gov/pubmed/25408603 http://dx.doi.org/10.4293/JSLS.2014.00178 |
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