BACKGROUND: 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. METHODS: 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 In the following 160 cases the technique has been simplified: the grasped specimen is withdrawn through the 15-mm trocar site without any additional device. RESULTS: 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. CONCLUSION: 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.
BACKGROUND: 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. METHODS: 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 In the following 160 cases the technique has been simplified: the grasped specimen is withdrawn through the 15-mm trocar site without any additional device. RESULTS: 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. CONCLUSION: 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.
Authors: G Casella; E Soricelli; M Rizzello; P Trentino; F Fiocca; A Fantini; F M Salvatori; N Basso Journal: Obes Surg Date: 2009-04-21 Impact factor: 4.129
Authors: D Cottam; F G Qureshi; S G Mattar; S Sharma; S Holover; G Bonanomi; R Ramanathan; P Schauer Journal: Surg Endosc Date: 2006-04-22 Impact factor: 4.584
Authors: N Basso; G Casella; M Rizzello; F Abbatini; E Soricelli; G Alessandri; C Maglio; A Fantini Journal: Surg Endosc Date: 2010-07-07 Impact factor: 4.584