Abstract
Background. Laparoscopic sleeve gastrectomy (LSG) has become a popular operation during the recent years. This procedure requires resection of 80–90% of the stomach. Extraction of gastric specimen is known to be a challenging and costly stage of the operation. In this paper, we report results of a simple and cost-effective specimen extraction technique which was applied to 137 consecutive LSG patients. Methods. Between October 2013 and October 2015, 137 laparoscopic sleeve gastrectomy surgeries were performed at Dokuz Eylul University General Surgery Department, Upper Gastrointestinal Surgery Unit. All specimens were extracted through a 15 mm trocar site without using any special device. Results. We noticed one superficial incisional surgical site infection and treated this patient with oral antibiotics. No cases of trocar site hernia were observed. Conclusion. Different techniques have been described for specimen extraction. This simple technique allows extraction of specimen safely in a short time and does not require any special device.
Highlights
Laparoscopic Sleeve Gastrectomy (LSG) has become an increasingly popular bariatric procedure worldwide [1, 2]
We investigated the effects of a specimen extraction technique we applied without using any wound protector, retrieval bag, or fascial enlargement on wound infection during the early postoperative period
All the laparoscopic sleeve gastrectomy procedures performed at the Dokuz Eylul University General Surgery Department, Upper Gastrointestinal Surgery Unit, Izmir, Turkey, between October 2013 and October 2015 were evaluated
Summary
Laparoscopic Sleeve Gastrectomy (LSG) has become an increasingly popular bariatric procedure worldwide [1, 2]. A minimum of 1,100 mL of gastric volume is suggested to be removed to achieve a long term weight loss [3] This means that there will be a large specimen to be extracted when the resection is completed. Laparoscopic sleeve gastrectomy (LSG) has become a popular operation during the recent years. This procedure requires resection of 80–90% of the stomach. We report results of a simple and cost-effective specimen extraction technique which was applied to 137 consecutive LSG patients. All specimens were extracted through a 15 mm trocar site without using any special device. This simple technique allows extraction of specimen safely in a short time and does not require any special device
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