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Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

Specimen extraction is the final step of every laparoscopic liver resection (LLR). An ideal method of extraction should minimize contamination of the peritoneum and port sites in the abdominal wall, have a good cosmetic result, avoid early (wound infection) and late (incisional hernia) complications, and allow specimen integrity for pathological examination. There is at present no consensus on the best site for specimen extraction. However, three different sites are adequate for using 10-mm endoscopic bags: an enlarged port site (umbilical area), a Pfannenstiel incision, and a pre-existing abdominal scar. Most of the time, the specimen dimension is the main limiting factor, followed by esthetic concerns, when choosing the extraction site.

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References

  1. Casciola L, Codacci-Pisanelli M, Ceccarelli G, Bartoli A, Di Zitti L, Patriti A (2008) A modified umbilical incision for specimen extraction after laparoscopic abdominal surgery. Surg Endosc 22(3):784–786. doi:10.1007/s00464-007-9584-2

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Correspondence to Alberto Patriti .

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© 2013 Springer-Verlag Italia

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Patriti, A., Ceccarelli, G., Bellochi, R., Casciola, L. (2013). Specimen Extraction. In: Calise, F., Casciola, L. (eds) Minimally Invasive Surgery of the Liver. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2664-3_21

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  • DOI: https://doi.org/10.1007/978-88-470-2664-3_21

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2663-6

  • Online ISBN: 978-88-470-2664-3

  • eBook Packages: MedicineMedicine (R0)

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