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Case Reports
. 2017 Dec;9(4):215-217.
doi: 10.1556/1646.9.2017.39.

Transvaginal extraction of laparoscopic liver resection specimen

Veysel Ersan  1 , Cuneyt Kayaalp  1 , Aydin Aktas  1 , Ersin Gundogan  1 , Uygar Teomete  2 , Fatih Sumer  1 , Servet Karagul  1
Affiliations
Case Reports

Transvaginal extraction of laparoscopic liver resection specimen

Veysel Ersan et al. Interv Med Appl Sci. 2017 Dec.

Abstract

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.

Keywords: LigaSure; Tisseel; cirrhosis; liver resection; natural orifice surgery; stapler.

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Figures

Fig. 1.
Fig. 1.
Computed tomography image of the mass (arterial phase)
Fig. 2.
Fig. 2.
Computed tomography image of the mass (venous phase)
Fig. 3.
Fig. 3.
Resected liver specimen
See this image and copyright information in PMC

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