Teixeira Antonio Roberto F, Pilla Victor F, Makdissi Fábio F, Machado Marcel Autran C
Department of Surgery, Liver Unit, Hospital Madre Teodora, Campinas, Brazil.
Surg Laparosc Endosc Percutan Tech. 2008 Dec;18(6):589-91. doi: 10.1097/SLE.0b013e3181809e8d.
Experience with laparoscopic liver resections has increased in recent years, and so have the number of patients operated on by minimally invasive techniques. Specimen extraction is an important step of laparoscopic liver resection. The size of the specimen is usually a limitation for the use of laparoscopy. The aim of this paper is to describe a new technique combining Pfannenstiel suprapubic incision and obstetric forceps to remove a large specimen from laparoscopic liver resections. The present technique allows an expeditious extraction of intact specimens, even huge ones, through a standard suprapubic Pfannenstiel incision. This technique has additional functional and cosmetic advantages over other techniques of specimen retrieval. We believe that the described technique is feasible, can be easily and rapidly performed, and facilitates laparoscopic liver resection by reducing the technical difficulties for specimen removal and may also be used in other abdominal laparoscopic interventions that deal with large surgical specimens.
近年来，腹腔镜肝切除术的经验有所增加，采用微创技术进行手术的患者数量也有所增加。标本取出是腹腔镜肝切除术的一个重要步骤。标本大小通常是腹腔镜应用的一个限制因素。本文旨在描述一种将耻骨上横切口和产钳相结合的新技术，用于从腹腔镜肝切除术中取出大标本。目前的技术允许通过标准的耻骨上横切口快速取出完整的标本，甚至是巨大的标本。与其他标本取出技术相比，该技术具有额外的功能和美容优势。我们认为，所描述的技术是可行的，操作简便快捷，通过减少标本取出的技术难度，有助于腹腔镜肝切除术，也可用于其他处理大手术标本的腹部腹腔镜手术。
