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A Modified Umbilical Incision for Specimen Extraction After Laparoscopic Abdominal Surgery

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Abstract

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.

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Authors and Affiliations

  1. Department of General, Vascular and Mininvasive Surgery, Spoleto Hospital, Roma, Italy

    L. Casciola, A. Bartoli, L. Di Zitti & A. Patriti

  2. Surgical Department “Pietro Valdoni”, University of Rome, “La Sapienza”, Roma, Italy

    M. Codacci-Pisanelli

  3. Department of General, Vascular and Mininvasive Surgery, Spoleto Hospital, Via Loreto 3, 06049, Spoleto, Italy

    G. Ceccarelli

Authors
  1. L. Casciola
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  2. M. Codacci-Pisanelli
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  3. G. Ceccarelli
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  4. A. Bartoli
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  5. L. Di Zitti
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  6. A. Patriti
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Corresponding author

Correspondence to M. Codacci-Pisanelli.

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Casciola, L., Codacci-Pisanelli, M., Ceccarelli, G. et al. A Modified Umbilical Incision for Specimen Extraction After Laparoscopic Abdominal Surgery. Surg Endosc 22, 784–786 (2008). https://doi.org/10.1007/s00464-007-9584-2

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  • DOI: https://doi.org/10.1007/s00464-007-9584-2

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