Lupinacci Renato Micelli, Dias André Roncon, Kondo André, Lupinacci Renato Arioni
Hospital do Servidor Público Estadual de São Paulo, São Paulo, Brazil.
Surg Innov. 2012 Mar;19(1):NP1-4. doi: 10.1177/1553350611410074. Epub 2011 Jul 7.
Specimen extraction is an unavoidable step in all laparoscopic resections. To this day there is no standardized retrieval incision for each procedure and the choice is made individually, yet based on the surgeon's experience and preference. Additionally, worldwide prevalence of inguinal hernia is high and many patients with this condition require surgical intervention for a distinct reason. In these particular cases, the hernia orifice can be seeing as an opportunity, allowing specimen retrieval when an open repair is performed immediately after the laparoscopic resection. In the present article, the authors propose this new option. Three patients who underwent this technique are also presented. Discussion is focused on the advantages and critics of the approach.
标本取出是所有腹腔镜切除术中不可避免的一步。时至今日，每种手术都没有标准化的取出切口，而是根据外科医生的经验和偏好进行个体化选择。此外，腹股沟疝在全球的患病率很高，许多患有这种疾病的患者由于特定原因需要手术干预。在这些特殊情况下，疝孔可被视为一个机会，即在腹腔镜切除术后立即进行开放修补时允许取出标本。在本文中，作者提出了这一新方法。还介绍了三名接受该技术的患者。讨论集中在该方法的优点和批评意见上。
