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REMOVAL OF BULKY TISSUE AT LAPAROSCOPIC SURGERY
Author(s) -
Tate J. J. T.,
Lau W. Y.,
Li A. K. C.
Publication year - 1993
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1993.tb00523.x
Subject(s) - medicine , cannula , surgery , laparoscopic surgery , laparoscopic cholecystectomy , laparoscopy
A technique for extraction of bulky tissue during laparoscopic surgery is presented. One laparoscopic cannula is replaced with a sigmoidoscope which acts as a wide‐bore cannula. At laparoscopic cholecystectomy, 22 of 60 (38%) patients were. found to require wound enlargement to remove a grossly diseased gall‐bladder. Use of a sigmoidoscope as a cannula was associated with fewer technical complications than surgical wound extension. At laparoscopic appendicectomy, the appendix could not be removed through the standard laparoscopic cannula in 16 of 46 (31 %) cases. The incidence of wound infection was significantly lower after laparoscopic appendicectomy than among a group of 98 patients having conventional appendicectomy ( P = 0.024). It is concluded that a sigmoidoscope can be used as a replacement cannula allowing uncomplicated removal of bulky tissue and reducing wound contamination.