Extraction bags provide no benefit when compared to unprotected lateral stomach extraction during laparoscopic sleeve gastrectomy - 15/05/20
Abstract |
Background |
Currently, no evidence compares outcomes for techniques utilizing surgical specimen extractions bags versus unprotected extraction.
Methods |
Evaluation of sleeve gastrectomies performed at two high-volume centers. Cases where an extraction bag was used (+EB) were compared to bag-less extraction (-EB). Outcomes included operative contamination, surgical site infections and extraction-site hernias.
Results |
674 patients were evaluated (417 in the +EB group and 257 in the -EB group). Preoperative characteristics were similar between groups. There was a trend toward shorter operative times with the -EB group (-EB = 100 min vs + EB = 106 min, p = 0.07). Gross spillage was documented as a contaminated case in 0.4% of -EB cases compared to 1.2% in +EB cases (p = 0.51). Two superficial infections were appreciated (1.2% = +EB vs 0.7% = -EB, p = 0.7) with one post-operative abscess in the -EB group (p = 0.61). One post-operative hernia was seen in each group (p = 0.62).
Discussion |
Bag-less extraction is a safe, resource conscious method that may potentially decreased operative time.
Le texte complet de cet article est disponible en PDF.Highlights |
• | No current guidelines for specimen removal after laparoscopic sleeve gastrectomy. |
• | Bagless removal of the lateral stomach is possible through a 12 mm port. |
• | There is no increased risk of hernia or infection with bagless extraction. |
• | Omission of extraction bags decreases operative costs. |
Keywords : Specimen extraction bag, Lateral stomach extraction, Sleeve gastrectomy, Cost analysis
Plan
| ☆ | The views expressed in this paper are those of the authors and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the U.S. Government. |
Vol 219 - N° 5
P. 776-779 - mai 2020 Retour au numéro
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