Abstract
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 In the following 160 cases the technique has been simplified: the grasped specimen is withdrawn through the 15-mm trocar site without any additional device.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.
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References
Hess DS, Hess DW (1998) Biliopancreatic diversion with a duodenal switch. Obes Surg 8:267–282
Marceau P, Biron S, St Georges R et al (1991) Biliopancreatic diversion with gastrectomy as surgical treatment of morbid obesity. Obes Surg 1:381–387
Roa PE, Kaidar-Person O, Pinto D et al (2006) Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short-term outcome. Obes Surg 16:1323–1326
Jason Moy J, Pomp A, Dakin G et al (2008) Laparoscopic sleeve gastrectomy for morbid obesity. Am J Surg 196:56–59
Gagner M, Gumbs AA, Milone L et al (2008) Laparoscopic sleeve gastrectomy for the super-super-obese (body mass index >60 kg/m2). Surg Today 38:399–403
Baltasar A, Serra C, Pérez N et al (2005) Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg 15:1124–1128
Cottam D, Qureshi FG, Mattar SG et al (2006) Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc 20:859–863
Deitel M, Crosby RD, Gagner M (2008) The first international consensus summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007. Obes Surg 18:487–496
Mahmood A, Silbergleit A (2006) The utilization of a morcellator during laparoscopic sleeve gastrectomy. Technol Health Care 14:537–539
Alley JB, Fenton SJ, Peterson RM (2009) The “tip-stitch”: a time-saving technique for specimen extraction in sleeve gastrectomy. Obes Surg 19:926–927
Silecchia G, Boru C, Pecchia A et al (2006) Effectiveness of laparoscopic sleeve gastrectomy (first stage of biliopancreatic diversion with duodenal switch) on co-morbidities in super-obese high-risk patients. Obes Surg 16:1138–1144
Casella G, Soricelli E, Rizzello M et al (2009) Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obes Surg 19:821–826
Abbatini F, Rizzello M, Casella G et al (2009) Long-term effects of laparoscopic sleeve gastrectomy, gastric bypass and adjustable gastric banding on type 2 diabetes. Surg Endosc. doi:10.1007/s00268-009-0715-9
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Casella, G., Soricelli, E., Fantini, A. et al. A Time-Saving Technique for Specimen Extraction in Sleeve Gastrectomy. World J Surg 34, 765–767 (2010). https://doi.org/10.1007/s00268-009-0365-z
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DOI: https://doi.org/10.1007/s00268-009-0365-z