AIM: The implications of extraction site enlargement to remove large specimens during laparoscopic surgery for @entity30 have not been clearly described, which was the aim of this study. METHODS: An institutional database was queried to identify @entity1 undergoing laparoscopic resection for @entity30 , through midline incision during 1995-2013. Perioperative outcomes were compared among cases completed through their initial extraction site (L), completed after increasing initial extraction site length (IL) for specimen exteriorization, and cases converted to open surgery (C). Univariate and multivariate statistical analysis were performed. RESULTS: Out of 309 @entity1 , 52 required IL, and 36 required C. Heavier, older, male @entity1 were more likely to require IL or C. There were no differences in disease behavior (p=0.260), procedures performed (p=0.12), and post-operative morbidity (p=0.33). IL and L had comparable initial length of hospital stay (LOS), which was shorter than in C group. While there were no significant differences in readmission causes (p=0.31), IL had increased readmission rates compared to L (Odds Ratio (OR) 2.80, p=0.021) or C (OR 13.89, p=0.015). When combining initial and readmission LOS, C and IL had comparable overall LOS (Median Ratio (MR) 1.09, p=0.57), which was significantly longer than in L (MR 1.27, p=0.02). CONCLUSIONS: Extraction site enlargement during laparoscopic surgery for enteric @entity30 had no impact on primary LOS. However, the shorter initial LOS was offset by increased readmission rates when compared to formal conversion. The threshold to convert in case of anticipated difficulty due to a large specimen should be low. This article is protected by copyright. All rights reserved.

What are the consequences of enlarging the extraction site to exteriorize a large specimen during laparoscopic surgery for XXXX ?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's disease"]
@entity30 :: (MESH:D003424,Disease) :: ['Crohn's enteritis']
