Cargando…

Scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy

BACKGROUND: The use of laparoscopy in liver surgery is well established and considered as the gold standard for small resections. The laparoscopic resections have lower morbidity and better cosmetic results, but still require an incision to remove the surgical specimen. The possibility of remove the...

Descripción completa

Detalles Bibliográficos
Autores principales: SAGAE, Univaldo E., ORSO, Ivan R. B., MATSUMOTO, Helin Minoru, HERMAN, Paulo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743225/
https://www.ncbi.nlm.nih.gov/pubmed/25626942
http://dx.doi.org/10.1590/S0102-67202014000400015
_version_ 1782414324089749504
author SAGAE, Univaldo E.
ORSO, Ivan R. B.
MATSUMOTO, Helin Minoru
HERMAN, Paulo
author_facet SAGAE, Univaldo E.
ORSO, Ivan R. B.
MATSUMOTO, Helin Minoru
HERMAN, Paulo
author_sort SAGAE, Univaldo E.
collection PubMed
description BACKGROUND: The use of laparoscopy in liver surgery is well established and considered as the gold standard for small resections. The laparoscopic resections have lower morbidity and better cosmetic results, but still require an incision to remove the surgical specimen. The possibility of remove the specimen through natural orifices and avoid an abdominal incision may further improve the benefits offered by minimally invasive procedures. AIM: To describe the technique of transvaginal extraction of the specimen after laparoscopic liver left lateral sectionectomy. METHOD: The laparoscopic liver resection is performed in a standard fashion. After completing the resection, the specimen is placed into a retrieval plastic bag. To perform de extraction, a vaginal colpotomy is performed, guided by a 12 mm trocar introduced through the vagina. Then the extraction bag is removed pulling the bag through the extended incision in the posterior wall of the vagina. After the extraction, the colpotomy incision is closed laparoscopically. RESULTS: This technique was performed in a 74-year-old woman with a 3 cm lesion between liver segments 2 and 3. She had a fast and uneventful recovery. CONCLUSION: This technique appears to be feasible, safe and avoid the complications of an abdominal incision.
format Online
Article
Text
id pubmed-4743225
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Colégio Brasileiro de Cirurgia Digestiva
record_format MEDLINE/PubMed
spelling pubmed-47432252016-02-24 Scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy SAGAE, Univaldo E. ORSO, Ivan R. B. MATSUMOTO, Helin Minoru HERMAN, Paulo Arq Bras Cir Dig Original Article BACKGROUND: The use of laparoscopy in liver surgery is well established and considered as the gold standard for small resections. The laparoscopic resections have lower morbidity and better cosmetic results, but still require an incision to remove the surgical specimen. The possibility of remove the specimen through natural orifices and avoid an abdominal incision may further improve the benefits offered by minimally invasive procedures. AIM: To describe the technique of transvaginal extraction of the specimen after laparoscopic liver left lateral sectionectomy. METHOD: The laparoscopic liver resection is performed in a standard fashion. After completing the resection, the specimen is placed into a retrieval plastic bag. To perform de extraction, a vaginal colpotomy is performed, guided by a 12 mm trocar introduced through the vagina. Then the extraction bag is removed pulling the bag through the extended incision in the posterior wall of the vagina. After the extraction, the colpotomy incision is closed laparoscopically. RESULTS: This technique was performed in a 74-year-old woman with a 3 cm lesion between liver segments 2 and 3. She had a fast and uneventful recovery. CONCLUSION: This technique appears to be feasible, safe and avoid the complications of an abdominal incision. Colégio Brasileiro de Cirurgia Digestiva 2014 /pmc/articles/PMC4743225/ /pubmed/25626942 http://dx.doi.org/10.1590/S0102-67202014000400015 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
SAGAE, Univaldo E.
ORSO, Ivan R. B.
MATSUMOTO, Helin Minoru
HERMAN, Paulo
Scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy
title Scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy
title_full Scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy
title_fullStr Scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy
title_full_unstemmed Scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy
title_short Scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy
title_sort scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743225/
https://www.ncbi.nlm.nih.gov/pubmed/25626942
http://dx.doi.org/10.1590/S0102-67202014000400015
work_keys_str_mv AT sagaeunivaldoe scarlesshepatectomynaturalorificespecimenextractionafterleftlateralsectionectomy
AT orsoivanrb scarlesshepatectomynaturalorificespecimenextractionafterleftlateralsectionectomy
AT matsumotohelinminoru scarlesshepatectomynaturalorificespecimenextractionafterleftlateralsectionectomy
AT hermanpaulo scarlesshepatectomynaturalorificespecimenextractionafterleftlateralsectionectomy