Usefulness of a Transumbilical Incision for Organ Removal in Laparoscopic Hepatectomy

Abstract

Background/Aim: To evaluate the complication rates and risk factors associated with transumbilical wounds and investigate the usefulness of an incision for organ removal in laparoscopic hepatectomy (Lap-H). Patients and Methods: We enrolled 42 patients who underwent Lap-H excluding a small partial resection in our hospital between 2013 and 2018. The occurrences of superficial surgical site infection (SSI) and transumbilical port-site incisional hernia were recorded. Results: SSI was not observed, and hernia occurred in 3 patients (7.14%). Univariate analysis revealed that body mass index (BMI) (p=0.004) was significantly associated with the risk of hernia formation. Conclusion: High BMI is a risk factor for hernia formation in patients undergoing Lap-H with transumbilical incision; hence, wound closure should be performed carefully. The construction of the transumbilical wound for organ removal was feasible with rationality, with no need to create a new wound.

A comparison of postoperative pain between transumbilical and suprapubic incision in laparoscopic liver resection

“…This can help reduce postoperative complications, such as surgical site infection (SSI) and incisional hernia. 5 Indeed, in their study population (n = 42), none of the cases developed SSI, and hernia occurred in only three patients (7%).…”

“…Aside from the issue of postoperative pain, Tomioka et al recently highlighted the rationality of a transumbilical incision, as there is no need to create a new wound for laparoscopic liver resection. This can help reduce postoperative complications, such as surgical site infection (SSI) and incisional hernia 5 . Indeed, in their study population (n = 42), none of the cases developed SSI, and hernia occurred in only three patients (7%).…”

“…A few studies have examined the symptoms and complications in relation to the location of the incision in laparoscopic liver resection 4,5 . Fiorentini et al conducted a study to clarify the correlation between the type of retrieval incision and postoperative outcomes.…”

“…A few studies have examined the symptoms and complications in relation to the location of the incision in laparoscopic liver resection. 4,5 Fiorentini et al conducted a study to clarify the correlation between the type of retrieval incision and postoperative outcomes. In their study, they compared the outcomes of laparoscopic liver resection among cases with an upper midline incision or Pfannenstiel incision and cases that received open hepatectomy.…”

Artificial Intelligence and ChatGPT in Abdominopelvic Surgery: A Systematic Review of Applications and Impact

“…Additionally, investigations into ethical considerations, privacy safeguards, and secure integration with electronic health records are paramount to ensure responsible and secure implementation in medical practice. Continuous collaboration between AI developers, healthcare professionals, and researchers is crucial to harness the potential benefits of ChatGPT while mitigating its limitations for safe and effective integration into medical settings (18,(24)(25)(26)(27).…”