Transanal Specimen Extraction After Laparoscopic Sigmoidectomy for Sigmoid Volvulus
Objective: Sigmoid resection can be performed using conventional and laparoscopic methods. Specimen removal from the natural orifice after laparoscopic surgery is increasingly preferred. This approach can reduce wound complications and the length of hospitalization. In this study, we present the res...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2025-07-01
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| Series: | Gazi Medical Journal |
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| Online Access: | https://gazimedj.com/articles/transanal-specimen-extraction-after-laparoscopic-sigmoidectomy-for-sigmoid-volvulus/doi/gmj.2025.3492 |
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| author | Ufuk Uylas Ramazan Gündoğdu Yusuf Murat Bağ Aydın Aktaş Fatih Sümer Cüneyt Kayaalp |
| author_facet | Ufuk Uylas Ramazan Gündoğdu Yusuf Murat Bağ Aydın Aktaş Fatih Sümer Cüneyt Kayaalp |
| author_sort | Ufuk Uylas |
| collection | DOAJ |
| description | Objective: Sigmoid resection can be performed using conventional and laparoscopic methods. Specimen removal from the natural orifice after laparoscopic surgery is increasingly preferred. This approach can reduce wound complications and the length of hospitalization. In this study, we present the results from cases of sigmoid volvulus treated with laparoscopic surgery and transanal specimen removal.
Methods: A retrospective analysis was performed on eight cases in which patients diagnosed with sigmoid volvulus underwent elective laparoscopic sigmoid colon resection and transanal specimen extraction. The patients were evaluated in terms of age, gender, comorbidities, operation time, surgical difficulties, length of hospital stay, and complications.
Results: Laparoscopic sigmoid resection and transanal specimen extraction were performed on eight patients. All patients were male, and the median age was 68 years (28-86 years). Five of the patients had comorbidities. The median operative time was 195 minutes (180-360). Transanal specimen extraction was successful in all patients. Anastomotic leakage occurred in one patient and subileus occurred in two patients. The median hospital stay was 5.5 days (3-21).
Conclusion: Transanal specimen extraction after laparoscopic resection is an easy, feasible, and safe method. Sigmoid volvulus is the ideal disease for the application of this procedure because it does not involve mass-like lesions such as tumors and diverticula. |
| format | Article |
| id | doaj-art-3b8031c0f3484161b5ee3cf1a2e0b409 |
| institution | Kabale University |
| issn | 2147-2092 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Gazi Medical Journal |
| spelling | doaj-art-3b8031c0f3484161b5ee3cf1a2e0b4092025-08-20T03:51:18ZengGalenos Publishing HouseGazi Medical Journal2147-20922025-07-0136324524910.12996/gmj.2025.3492Transanal Specimen Extraction After Laparoscopic Sigmoidectomy for Sigmoid VolvulusUfuk Uylas0https://orcid.org/0000-0003-4195-5498Ramazan Gündoğdu1https://orcid.org/0000-0002-8799-3265Yusuf Murat Bağ2https://orcid.org/0000-0002-0159-9356Aydın Aktaş3https://orcid.org/0000-0003-3407-0210Fatih Sümer4https://orcid.org/0000-0002-0557-1369Cüneyt Kayaalp5https://orcid.org/0000-0003-4657-2998Department of General Surgery, İzmir Tepecik Training and Research Hospital, University of Health Sciences Türkiye, İzmir, TürkiyeDepartment of General Surgery, Adana Dr. Turgut Noyan Training and Research Hospital, Başkent University, Adana, TürkiyeDepartment of Gastroenterological Surgery, İnönü University Faculty of Medicine, Malatya, TürkiyeDepartment of Gastrointestinal Surgery, Karadeniz Technical University Faculty of Medicine, Trabzon, TürkiyeDepartment of Gastroenterological Surgery, İnönü University Faculty of Medicine, Malatya, TürkiyeDepartment of Gastroenterological Surgery, Atlas University Faculty of Medicine, İstanbul, TürkiyeObjective: Sigmoid resection can be performed using conventional and laparoscopic methods. Specimen removal from the natural orifice after laparoscopic surgery is increasingly preferred. This approach can reduce wound complications and the length of hospitalization. In this study, we present the results from cases of sigmoid volvulus treated with laparoscopic surgery and transanal specimen removal. Methods: A retrospective analysis was performed on eight cases in which patients diagnosed with sigmoid volvulus underwent elective laparoscopic sigmoid colon resection and transanal specimen extraction. The patients were evaluated in terms of age, gender, comorbidities, operation time, surgical difficulties, length of hospital stay, and complications. Results: Laparoscopic sigmoid resection and transanal specimen extraction were performed on eight patients. All patients were male, and the median age was 68 years (28-86 years). Five of the patients had comorbidities. The median operative time was 195 minutes (180-360). Transanal specimen extraction was successful in all patients. Anastomotic leakage occurred in one patient and subileus occurred in two patients. The median hospital stay was 5.5 days (3-21). Conclusion: Transanal specimen extraction after laparoscopic resection is an easy, feasible, and safe method. Sigmoid volvulus is the ideal disease for the application of this procedure because it does not involve mass-like lesions such as tumors and diverticula.https://gazimedj.com/articles/transanal-specimen-extraction-after-laparoscopic-sigmoidectomy-for-sigmoid-volvulus/doi/gmj.2025.3492colonsurgerylaparoscopysigmoid volvulusnatural orifice |
| spellingShingle | Ufuk Uylas Ramazan Gündoğdu Yusuf Murat Bağ Aydın Aktaş Fatih Sümer Cüneyt Kayaalp Transanal Specimen Extraction After Laparoscopic Sigmoidectomy for Sigmoid Volvulus Gazi Medical Journal colon surgery laparoscopy sigmoid volvulus natural orifice |
| title | Transanal Specimen Extraction After Laparoscopic Sigmoidectomy for Sigmoid Volvulus |
| title_full | Transanal Specimen Extraction After Laparoscopic Sigmoidectomy for Sigmoid Volvulus |
| title_fullStr | Transanal Specimen Extraction After Laparoscopic Sigmoidectomy for Sigmoid Volvulus |
| title_full_unstemmed | Transanal Specimen Extraction After Laparoscopic Sigmoidectomy for Sigmoid Volvulus |
| title_short | Transanal Specimen Extraction After Laparoscopic Sigmoidectomy for Sigmoid Volvulus |
| title_sort | transanal specimen extraction after laparoscopic sigmoidectomy for sigmoid volvulus |
| topic | colon surgery laparoscopy sigmoid volvulus natural orifice |
| url | https://gazimedj.com/articles/transanal-specimen-extraction-after-laparoscopic-sigmoidectomy-for-sigmoid-volvulus/doi/gmj.2025.3492 |
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