Use of Transumbilical Incision as an Organ Removal Site in Laparoscopic Pancreatectomy

Anticancer Res. 2021 Apr;41(4):2197-2201. doi: 10.21873/anticanres.14995.

Abstract

Background/aim: To evaluate complications and risk factors associated with transumbilical incision as an organ removal site in laparoscopic pancreatectomy (LP).

Patients and methods: In total, 52 patients who underwent LP between 2009 and 2017 were included in this study. The development of superficial surgical site infection (SSI) and transumbilical port-site incisional hernia was recorded.

Results: None of the patients had SSI. However, three (5.77%) presented with transumbilical incisional hernia. No variables were significantly associated with the risk of transumbilical incisional hernia.

Conclusion: No evident risk factors correlated with hernia formation. Hence, incisional hernia might have occurred at a certain probability. In some cases, it was caused by technical problems. However, the use of transumbilical incision as an organ removal site was feasible, and a new incision for organ removal alone was not required.

Keywords: Laparoscopic; complication; pancreatectomy; surgery; transumbilical.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Databases, Factual
  • Female
  • Humans
  • Incisional Hernia / diagnosis
  • Incisional Hernia / epidemiology
  • Incisional Hernia / etiology
  • Japan / epidemiology
  • Laparoscopy / adverse effects
  • Laparoscopy / methods*
  • Laparoscopy / statistics & numerical data
  • Male
  • Middle Aged
  • Pancreas / pathology*
  • Pancreas / surgery
  • Pancreatectomy / adverse effects
  • Pancreatectomy / methods*
  • Pancreatectomy / statistics & numerical data
  • Pancreatic Diseases / epidemiology
  • Pancreatic Diseases / surgery*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Risk Factors
  • Specimen Handling / adverse effects
  • Specimen Handling / methods
  • Surgical Wound Infection / diagnosis
  • Surgical Wound Infection / epidemiology
  • Surgical Wound Infection / etiology
  • Umbilicus / pathology
  • Umbilicus / surgery*
  • Young Adult