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Transumbilical retrieval of surgical specimens through a multichannel port.

Yi SW, Ju da H, Lee SS, Sohn WS - JSLS (2014 Oct-Dec)

Bottom Line: The clinical characteristics and operative outcomes of the 2 groups were compared.The transumbilical retrieval of surgical specimens through a multichannel port with a wound retractor was safe and did not result in leakage of the cystic contents.However, the mean operation time was not shortened with this procedure, because of the learning period and the time required to prepare the umbilical multichannel port.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Gangwon, Korea.

ABSTRACT

Background: Laparoscopic surgery is often used to excise adnexal masses; however, the retrieval of specimens such as large cystic masses through conventional 5- or 10-mm ports is difficult and time-consuming. We compared outcomes between conventional laparoscopic surgery for adnexal masses and transumbilical specimen retrieval through a multichannel port during single- or 2-port laparoscopy.

Methods: A total of 341 patients who underwent laparoscopic surgery for adnexal masses from November 2006 to December 2010 were included. The patients were divided into 2 groups: group I consisted of 249 patients who underwent conventional laparoscopy, and group II consisted of 92 patients who underwent single- or 2-port laparoscopy using a multichannel port. The clinical characteristics and operative outcomes of the 2 groups were compared.

Results: The mean operation time was 51.8 ± 21.5 minutes in group I and 57.2 ± 23.9 minutes in group II. The mean specimen retrieval time was longer in group I (2.9 ± 4.0 minutes) than in group II (2.2 ± 1.8 minutes). Endoscopic bag rupture during specimen retrieval occurred in 11 patients in group I and in no patients in group II.

Conclusions: The transumbilical retrieval of surgical specimens through a multichannel port with a wound retractor was safe and did not result in leakage of the cystic contents. This technique reduced the specimen retrieval time, especially for large masses. However, the mean operation time was not shortened with this procedure, because of the learning period and the time required to prepare the umbilical multichannel port.

No MeSH data available.


Related in: MedlinePlus

Multichannel port in the umbilicus for single-port laparoscopic surgery. Three trocars were individually inserted into separate fingers of a surgical glove and secured with rubber bands. The wrist portion of the glove was positioned over the wound retractor.
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Figure 1: Multichannel port in the umbilicus for single-port laparoscopic surgery. Three trocars were individually inserted into separate fingers of a surgical glove and secured with rubber bands. The wrist portion of the glove was positioned over the wound retractor.

Mentions: For the single-port laparoscopic procedures, 3 trocars (two 12-mm trocars and one 5-mm trocar) were inserted into separate fingers of a surgical glove and secured with rubber bands. The wrist portion of the glove covered the wound retractor, and 3 Babcock clamps were placed on the edges of the retractor to prevent carbon dioxide leakage (Figure 1). A 10-mm laparoscope and atraumatic forceps were inserted through the umbilical multichannel port.


Transumbilical retrieval of surgical specimens through a multichannel port.

Yi SW, Ju da H, Lee SS, Sohn WS - JSLS (2014 Oct-Dec)

Multichannel port in the umbilicus for single-port laparoscopic surgery. Three trocars were individually inserted into separate fingers of a surgical glove and secured with rubber bands. The wrist portion of the glove was positioned over the wound retractor.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4232406&req=5

Figure 1: Multichannel port in the umbilicus for single-port laparoscopic surgery. Three trocars were individually inserted into separate fingers of a surgical glove and secured with rubber bands. The wrist portion of the glove was positioned over the wound retractor.
Mentions: For the single-port laparoscopic procedures, 3 trocars (two 12-mm trocars and one 5-mm trocar) were inserted into separate fingers of a surgical glove and secured with rubber bands. The wrist portion of the glove covered the wound retractor, and 3 Babcock clamps were placed on the edges of the retractor to prevent carbon dioxide leakage (Figure 1). A 10-mm laparoscope and atraumatic forceps were inserted through the umbilical multichannel port.

Bottom Line: The clinical characteristics and operative outcomes of the 2 groups were compared.The transumbilical retrieval of surgical specimens through a multichannel port with a wound retractor was safe and did not result in leakage of the cystic contents.However, the mean operation time was not shortened with this procedure, because of the learning period and the time required to prepare the umbilical multichannel port.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Gangwon, Korea.

ABSTRACT

Background: Laparoscopic surgery is often used to excise adnexal masses; however, the retrieval of specimens such as large cystic masses through conventional 5- or 10-mm ports is difficult and time-consuming. We compared outcomes between conventional laparoscopic surgery for adnexal masses and transumbilical specimen retrieval through a multichannel port during single- or 2-port laparoscopy.

Methods: A total of 341 patients who underwent laparoscopic surgery for adnexal masses from November 2006 to December 2010 were included. The patients were divided into 2 groups: group I consisted of 249 patients who underwent conventional laparoscopy, and group II consisted of 92 patients who underwent single- or 2-port laparoscopy using a multichannel port. The clinical characteristics and operative outcomes of the 2 groups were compared.

Results: The mean operation time was 51.8 ± 21.5 minutes in group I and 57.2 ± 23.9 minutes in group II. The mean specimen retrieval time was longer in group I (2.9 ± 4.0 minutes) than in group II (2.2 ± 1.8 minutes). Endoscopic bag rupture during specimen retrieval occurred in 11 patients in group I and in no patients in group II.

Conclusions: The transumbilical retrieval of surgical specimens through a multichannel port with a wound retractor was safe and did not result in leakage of the cystic contents. This technique reduced the specimen retrieval time, especially for large masses. However, the mean operation time was not shortened with this procedure, because of the learning period and the time required to prepare the umbilical multichannel port.

No MeSH data available.


Related in: MedlinePlus