Transjejunal Extraction of Gallbladder After Mini-Laparoscopic Cholecystectomy in Patients with Previous Roux-en-Y Gastric Bypass: A Small Case Series

Kayaalp, Cüneyt; Tardu, Ali; Yağcı, Mehmet Ali; Sümer, Fatih

doi:10.1089/lap.2014.0583

Cited by 2 publications

(1 citation statement)

References 15 publications

(16 reference statements)

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“…Transanal extraction is almost always used for the colorectal specimen extractions [ 9 ]. Transoral extraction is only suitable for small-sized specimens, such as appendix or gall bladder [ 10 ]. We previously used transoral route in a patient with a polycystic liver disease who underwent laparoscopic liver cyst fenestration combined with successful transoral specimen extraction [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Transvaginal extraction of laparoscopic liver resection specimen

Ersan

Kayaalp

Aktaş

et al. 2017

Interventional Medicine and Applied Science

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The application of laparoscopic surgery via the vagina has been introduced at the beginning of this millennium. Here, we report a case of transvaginal extraction of a laparoscopic hepatectomy specimen. An exophytic liver mass originated from segment VI in a 24-year-old female was excised with laparoscopic technique using four trocars (0.5–1.2 cm sizes). The specimen (11 × 8.5 cm) was removed transvaginally instead of an abdominal incision. To the best of our knowledge, only six similar cases have been previously reported, with a patient age range of 32–74 years. Our case, due to younger age, had high cosmetic expectations. Specific to this case, we aimed a better aesthetic outcomes and better convalescence period and, we achieved these objectives. We believe that patient selection and experience on natural orifice specimen extraction were the keys to the success of the operation. We shared this technique with a video presentation.

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Section: Discussionmentioning

confidence: 99%

Transvaginal extraction of laparoscopic liver resection specimen

Ersan

Kayaalp

Aktaş

et al. 2017

Interventional Medicine and Applied Science

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Transgastric removal of a polycystic liver disease using mini-laparoscopic excision

Sümer

Kayaalp

Polat

et al. 2016

Interventional Medicine and Applied Science

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Surgical treatment is often necessary for patients with symptomatic or complicated polycystic liver diseases (PLD). In this paper, we describe a 52-year-old female with symptomatic PLD that had resulted in the formation of liver cysts, the largest of which was 23 cm in diameter. The patient underwent mini-laparoscopic fenestration through 5-mm abdominal trocars. The walls of the cysts were unroofed using a harmonic scalpel. Four thickened rubber-like pieces of specimens (sizes ranged between 9 × 6 × 0.5 cm and 6 × 3 × 0.1 cm) were not suitable for extraction through the 5-mm trocars. A gastrotomy was performed, and the specimens were extracted through the stomach with the help of an endoscope. Transoral removal of the specimens was completed without any complications, and the gastrotomy was closed intracorporeally. The patient was permitted to take fluids on day one, and oral intake was gradually increased. She was discharged on day four and was asymptomatic after two months of follow-up. The combination of mini-laparoscopy and intraoperative endoscopic specimen extraction represented a minimally invasive surgical approach for the treatment of PLD. To the best of our knowledge, this was the first case report of the transoral extraction of a liver specimen.

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Transjejunal Extraction of Gallbladder After Mini-Laparoscopic Cholecystectomy in Patients with Previous Roux-en-Y Gastric Bypass: A Small Case Series

Cited by 2 publications

References 15 publications

Transvaginal extraction of laparoscopic liver resection specimen

Transvaginal extraction of laparoscopic liver resection specimen

Transgastric removal of a polycystic liver disease using mini-laparoscopic excision

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