Comparison of Natural Orifice Versus Transabdominal Specimen Extraction Following Laparoscopic Minor Hepatectomy

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dc.authoridBag, Yusuf Murat/0000-0002-0159-9356
dc.authoridAydın, Mehmet Can/0000-0002-2379-1293
dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridGunes, Orgun/0000-0002-0576-6086
dc.authorwosidBag, Yusuf Murat/ABD-2949-2021
dc.authorwosidAydın, Mehmet Can/ABC-6499-2021
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidGunes, Orgun/GLN-4395-2022
dc.contributor.authorAydin, Mehmet Can
dc.contributor.authorBag, Yusuf Murat
dc.contributor.authorGunes, Orgun
dc.contributor.authorSumer, Fatih
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:49:29Z
dc.date.available2024-08-04T20:49:29Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractNatural orifice specimen extraction (NOSE) is an emerging technique usually preferred for colorectal resections or cholecystectomy. NOSE following laparoscopic liver resections is limited to case reports, and there is no previous study comparing the outcomes of NOSE and transabdominal (TA) specimen extraction. Our aim was to compare NOSE and TA specimen extraction methods following laparoscopic minor hepatectomy. Thirty-one patients undergoing laparoscopic minor hepatectomy between 2014 and 2020 were evaluated. The patients were divided into two groups as NOSE (n: 12) and TA (n: 19). The patients' demographics, preoperative and postoperative findings, pain, and cosmetic scores were compared. Female ratio was higher in the NOSE group (83.3% vs 31.6%, p=0.005); other demographics were similar. The median length of incision was 6 cm in the TA group but only trocar incisions in the NOSE group. There was no difference between intraoperative and postoperative findings except pain and cosmetic scores. Pain scores on postoperative days 1, 2, and 3 and in total were lower in the NOSE group (4.1 +/- 0.6 vs. 5.6 +/- 1.1, p=0.001; 2.2 +/- 04 vs. 4.1 +/- 0.9, p<0.001; 1.7 +/- 0.6 vs. 2.4 +/- 0.8, p=0.025; 8.1 +/- 1.4 vs. 12.2 +/- 2.5, p<0.001). In addition, patients in NOSE group had better cosmetic scores (9.2 +/- 0.6 versus 7.0 +/- 0.6, p<0.01). Laparoscopic minor hepatectomy combined with NOSE is a safe and effective procedure in selected patients with the advantages of less postoperative pain and better cosmesis. NOSE is ideal for female patients with high cosmetic expectancy.en_US
dc.identifier.doi10.1007/s12262-021-02855-6
dc.identifier.endpage293en_US
dc.identifier.issn0972-2068
dc.identifier.issn0973-9793
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85104411722en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage288en_US
dc.identifier.urihttps://doi.org/10.1007/s12262-021-02855-6
dc.identifier.urihttps://hdl.handle.net/11616/99890
dc.identifier.volume84en_US
dc.identifier.wosWOS:000640737300001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Indiaen_US
dc.relation.ispartofIndian Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaparoscopic liver resectionen_US
dc.subjectNOTESen_US
dc.subjectMinimally invasive surgeryen_US
dc.titleComparison of Natural Orifice Versus Transabdominal Specimen Extraction Following Laparoscopic Minor Hepatectomyen_US
dc.typeArticleen_US

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