A modified umbilical incision for specimen extraction after laparoscopic abdominal surgery
A modified umbilical incision for specimen extraction after laparoscopic abdominal surgery
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DOI：
10.1007/s00464-007-9584-2
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发表时间：
2008-03-01
影响因子：
3.1
通讯作者：
Patriti, A.
中科院分区：
文献类型：
--
作者：
Casciola, L.;Codacci-Pisanelli, M.;Patriti, A.
背景腹腔镜手术相对于开腹手术的一个优点是不需要开腹切口。当进行辅助切口以移除大于trocer.Methods的手术标本时，这种优势被降低，该切口在脐trocer.Methods水平处进行，使得能够移除如右半结肠切除术（绞痛）、胃切除术、结果10年来，作者在所有需要切除手术标本的病例中常规使用了这种方法。结论作者认为，这种方法避免了辅助切口的使用，这些切口取消了腹腔镜手术的许多优点。
Background One advantage of laparoscopic surgery over open surgery is the absence of laparotomic incisions. This advantage is reduced when an auxiliary incision is performed to remove surgical specimens larger than the trocar.Methods A special incision was performed at umbilical trocar level that enabled removal of a large surgical specimen as in right hemicolectomy (colic), gastric resection, and splenic surgery.Results The authors have used this method routinely for 10 years for all cases requiring removal of a surgical specimen too large for the normal incision of a 10-mm trocar.Conclusion The authors maintain that this method avoids the use of auxiliary incisions, which undo the many benefits of laparoscopic surgery.