Torres Ricardo A, Orban Raúl D, Tocaimaza Laura, Vallejos Pereira Guillermo, Arévalo José René
Department of Surgery, "José Francisco de San Martín" University Hospital, Corrientes, Lavalle 522, 3400, Corrientes, Argentina.
World J Surg. 2012 Jul;36(7):1699-702. doi: 10.1007/s00268-012-1528-x.
Despite the advantages of laparoscopic colon surgery, the need for an incision in the abdominal wall to remove the surgical specimen is a morbidity factor. The objective of this article is to introduce transvaginal specimen extraction after laparoscopic colectomy, in order to avoid an abdominal incision.
Between 2008 and 2011, 21 selected women with benign and malignant colorectal pathologies underwent laparoscopic colectomy and the extraction of the surgical specimen was done through a transvaginal access route. Of these patients, 12 had symptomatic diverticular disease, four had rectal villous adenomas, two had severe chronic constipation, and three had adenocarcinomas. We describe the surgical technique and the short-term outcomes related to the transvaginal specimen extraction.
The procedure was successful in all cases. There were no immediate complications or mortality. At follow-up, between 2 and 34 months, there were no functional disorders associated with the transvaginal specimen extraction.
Specimen removal of laparoscopic colectomies via the transvaginal route avoids the abdominal wall incision and its potential complications. It is feasible, safe, and simple to perform, with no additional costs, and provides excellent cosmetic results.
尽管腹腔镜结肠手术具有诸多优势，但为取出手术标本而在腹壁做切口仍是一个发病因素。本文的目的是介绍腹腔镜结肠切除术后经阴道取出标本的方法，以避免腹部切口。
2008年至2011年期间，21名患有良性和恶性结肠疾病的女性接受了腹腔镜结肠切除术，并通过经阴道途径取出手术标本。这些患者中，12例患有有症状的憩室病，4例患有直肠绒毛状腺瘤，2例患有严重的慢性便秘，3例患有腺癌。我们描述了手术技术以及与经阴道取出标本相关的短期结果。
所有病例手术均成功。无即刻并发症或死亡。随访2至34个月期间，未出现与经阴道取出标本相关的功能障碍。
腹腔镜结肠切除术经阴道途径取出标本可避免腹壁切口及其潜在并发症。该方法可行、安全且操作简单，无需额外费用，美容效果极佳。
