Surgical-Medical Department for Digestive Diseases, Policlinico Umberto I, University of Rome Sapienza, Viale del Policlinico, 00161, Rome, Italy.
World J Surg. 2010 Apr;34(4):765-7. doi: 10.1007/s00268-009-0365-z.
Laparoscopic sleeve gastrectomy (LSG), first intended as the first step of biliopancreatic diversion with duodenal switch (BPD-DS), is gaining popularity as a per-se procedure because of its effectiveness on weight loss and comorbidity resolution. The extraction of the gastrectomy specimen could be challenging and time-consuming. Different techniques have been described for specimen withdrawal. In this article we report the technique adopted in more than 250 LSGs performed in our department.
In the first 90 LSGs performed in our department from October 2002, the specimen was extracted in a retrieval bag using an endoloop. In the following 160 cases the technique has been simplified: the grasped specimen is withdrawn through the 15-mm trocar site without any additional device.
We registered only two cases of wound infection (1.2%) with the simplified technique, both occurring in the initial cases. There were no cases of trocar site hernia formation.
The technique described does not require any special devices and seems to be simpler, saves time, and is cost effective if compared with other techniques previously reported.
腹腔镜袖状胃切除术（LSG）最初旨在作为胆胰分流术与十二指肠转位术（BPD-DS）的第一步，由于其在减肥和解决合并症方面的有效性，它作为一种独立的手术越来越受欢迎。胃切除术标本的取出可能具有挑战性和耗时。已经描述了不同的技术来进行标本取出。在本文中，我们报告了我们科室在 250 多例 LSG 中采用的技术。
在我们科室 2002 年 10 月进行的前 90 例 LSG 中，使用 Endoloop 将标本提取到回收袋中。在随后的 160 例中，简化了该技术：通过 15mm 套管针孔位取出抓握的标本，无需任何额外的装置。
我们仅在简化技术的最初几例中记录了两例伤口感染（1.2%）。没有发生套管针孔疝形成的病例。
所描述的技术不需要任何特殊设备，与以前报道的其他技术相比，它似乎更简单、节省时间且具有成本效益。
