Feghali Elio Junior, Laganà Antonio Simone, Daccache Aimee, Bitar Roger, Garzon Simone, Uccella Stefano, Petousis Stamatios, Sleiman Zaki
Lebanese American University Medical Center - Rizk Hospital, Beirut, Lebanon.
Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Varese, Italy.
Minim Invasive Ther Allied Technol. 2022 Jun;31(5):698-703. doi: 10.1080/13645706.2021.1982727. Epub 2021 Nov 3.
The purpose of this systematic review was to assess the characteristics of endobags present in the market, the weight of specimen removed, complications of the operations and time required for in-bag morcellation in women undergoing laparoscopic gynecologic surgeries.
We performed a systematic review, including prospective and retrospective studies, with or without randomized allocation of the patients, using endobags in laparoscopic gynecologic surgeries. We extracted data about study design, type and price of bag used, type of surgical procedure, specimen weight, mean time for morcellation and for total surgical procedure, complications.
We included 11 studies, including a total of 1160 patients, in which the investigators used MorSafe, Endocatch II autosuture, More-Cell-Safe, Endocatch, EcoSac and LapBag. A wide range of specimens were morcellated with the largest successfully morcellated specimen weighing 2314 gr. Only half of the studies comparing uncontained and contained morcellation found a significant increase of total operative time. Finally, the number of complications was not increased when endobag was used.
According to our systematic review, in-bag (contained) morcellation can be considered as a safe and unexpensive option, associated with a very low number of complications, even with large specimens.
本系统评价旨在评估市场上现有的内袋的特点、切除标本的重量、手术并发症以及接受腹腔镜妇科手术的女性进行袋内粉碎术所需的时间。
我们进行了一项系统评价，纳入前瞻性和回顾性研究，无论患者是否随机分配，这些研究均在腹腔镜妇科手术中使用内袋。我们提取了有关研究设计、所用袋子的类型和价格、手术类型、标本重量、粉碎术平均时间和总手术时间、并发症的数据。
我们纳入了11项研究，共1160例患者，研究人员使用了MorSafe、Endocatch II自动缝合器、More-Cell-Safe Endocatch、EcoSac和LapBag。粉碎了各种标本，成功粉碎的最大标本重2314克。只有一半比较无包囊粉碎术和有包囊粉碎术的研究发现总手术时间有显著增加。最后，使用内袋时并发症数量并未增加。
根据我们的系统评价，袋内（有包囊）粉碎术可被视为一种安全且经济的选择，即使处理大标本，其并发症数量也非常少。
