{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T13:45:31Z","timestamp":1698155131276},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"14","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orvosi Hetilap"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:p>Introduction: Due to significant technical evolution complex surgeries can be performed laparoscopically nowadays. However, laparotomy is needed frequently for the extraction of the specimen, which decreases the advantages of laparoscopy. Aim: The aim of the authors was to analyse and present their experience on the use of natural orifices and abdominal wall defects for extraction of the surgical specimen. Method: From 2009 the authors used natural orifices (stomach, vagina, rectum) when viscerotomy was an obligate part of laparoscopic surgery and, in a special gastrointestinal laparoscopic operation, the gate of the inguinal hernia for specimen extraction. Results: In 3 patients benign lesions of the stomach were extracted using gastroscope. In 6 patients with bowel endometriosis, in whom the wall of the vagina was completely infiltrated, the resected bowel was extracted transvaginally, and in 5 patients transrectal extraction of the specimen was performed. In 2 patients the inguinal hernia was used for the surgical specimen extraction after laparoscopic sigmoid resection, and in one patient a single-port was inserted into the gate of the hernia during laparoscopic cholecystectomy. Complications occurred only after transvaginal specimen extraction (rectovaginal fistula in 2 patients). Conclusions: Use of natural orifices and abdominal wall defects for surgical specimen extraction further decreases the invasiveness of laparoscopic surgery, if indications made appropriately. Orv. Hetil., 2015, 156(14), 552\u2013557.<\/jats:p>","DOI":"10.1556\/oh.2015.30116","type":"journal-article","created":{"date-parts":[[2015,3,30]],"date-time":"2015-03-30T01:01:28Z","timestamp":1427677288000},"page":"552-557","source":"Crossref","is-referenced-by-count":1,"title":["Reducing invasiveness of laparoscopic surgery using natural orifices and abdominal wall defects for extraction of the specimen"],"prefix":"10.1556","volume":"156","author":[{"given":"P\u00e9ter","family":"Lukovich","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Seb\u00e9szeti Klinika Budapest \u00dcll\u0151i \u00fat 78. 1082"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Bokor","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. N\u0151gy\u00f3gy\u00e1szati Klinika Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"<i>Kalloo, A. N., Singh, V. K., Jagannath, S. B., et al.:<\/i> Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest. Endosc., 2004, <i>60<\/i>(1), 114\u2013117.","DOI":"10.1016\/S0016-5107(04)01309-4"},{"key":"2","doi-asserted-by":"crossref","unstructured":"<i>Wolthuis, A. M., Meuleman, C., Tomassetti, C., et al.:<\/i> Laparoscopic sigmoid resection with transrectal specimen extraction: a novel technique for the treatment of bowel endometriosis. Hum. 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A., et al.:<\/i> An innovative technique for colorectal specimen retrieval: a new era of \u201cnatural orifice specimen extraction\u201d (N.O.S.E). Dis. Colon Rectum, 2008, <i>51<\/i>(7), 1120\u20131124.","DOI":"10.1007\/s10350-008-9316-2"},{"key":"7","doi-asserted-by":"crossref","unstructured":"<i>Belghiti, J., Ballester, M., Zilberman, S., et al.:<\/i> Role of protective defunctioning stoma in colorectal resection for endometriosis. J. Minim. Invasive Gynecol., 2014, <i>21<\/i>(3), 472\u2013479.","DOI":"10.1016\/j.jmig.2013.12.094"},{"key":"8","doi-asserted-by":"crossref","unstructured":"<i>Bokor, A., Pohl, A., Lukovich, P., et al.:<\/i> Transvaginal specimen extraction after laparoscopic bowel resection in deeply infiltrating endometriosis. [M\u0171t\u00e9ti prepar\u00e1tum elt\u00e1vol\u00edt\u00e1sa a h\u00fcvelyen kereszt\u00fcl a vastagbelet \u00e9rint\u0151 m\u00e9lyen infiltr\u00e1l\u00f3 endometriosis laparoszk\u00f3pos m\u0171t\u00e9te sor\u00e1n.] Orv. 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