Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy

Tugay Aksakalli; Adem Utlu; Feyzullah Çelik; Ahmet Cinislioğlu; İbrahim Karabulut

doi:10.56766/ntms.1848528

Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy

Abstract

Purpose The type of incision used for specimen extraction during laparoscopic nephrectomy may influence postoperative pain, wound-related complications, cosmetic outcomes, and healing. This study aimed to compare perioperative and long-term outcomes of two specimen extraction incision techniques used in laparoscopic nephrectomy: fusion of the first and third port sites versus extension of the third port site. Methods A retrospective analysis was conducted on patients who underwent laparoscopic nephrectomy between 2020 and 2024. Patients were divided into two groups according to the extraction incision technique: fusion of the first and third ports (Group 1) and extension of the third port (Group 2). Demographic data, perioperative variables, postoperative pain scores, wound-related complications, and long-term incision outcomes were compared between groups. Results A total of 87 patients were included (Group 1: n=46; Group 2: n=41). Baseline demographic, clinical, and laboratory characteristics were comparable between groups. Operative time, postoperative day 1 and first-month VAS scores, length of hospital stay, drain removal time, and transfusion rates showed no significant differences. Incision length was significantly shorter in Group 2 (p=0.007). Although not statistically significant, wound infection, hypertrophic scarring, and skin depression were observed more frequently in Group 1. The incidence of incisional hernia was low and similar between groups. Conclusion Both specimen extraction techniques demonstrated acceptable and safe outcomes following laparoscopic nephrectomy. However, the fusion of port sites was associated with a longer incision and a higher tendency toward wound-healing–related issues. Extension of the third port may be a preferable option to minimize incision length and wound-related concerns. Further prospective, randomized studies with larger cohorts are warranted.

Keywords

References

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Details

Primary Language

English

Subjects

Urology

Journal Section

Research Article

Authors

Tugay Aksakalli ^*
0000-0001-6781-738X
Türkiye

Adem Utlu
0000-0002-6381-025X
Türkiye

Feyzullah Çelik
0000-0003-4564-7417
Türkiye

Ahmet Cinislioğlu
0000-0002-1037-815X
Türkiye

İbrahim Karabulut
0000-0001-6766-0191
Türkiye

Publication Date

February 24, 2026

Submission Date

December 25, 2025

Acceptance Date

January 9, 2026

Published in Issue

Year 2026 Volume: 7 Number: 1

DOI

https://doi.org/10.56766/ntms.1848528

IZ

https://izlik.org/JA67JK66WP

Cite

RIS / Bibtex

APA

Aksakalli, T., Utlu, A., Çelik, F., Cinislioğlu, A., & Karabulut, İ. (2026). Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy. New Trends in Medicine Sciences, 7(1), 16-23. https://doi.org/10.56766/ntms.1848528

AMA

1.Aksakalli T, Utlu A, Çelik F, Cinislioğlu A, Karabulut İ. Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy. New Trend Med Sci. 2026;7(1):16-23. doi:10.56766/ntms.1848528

Chicago

Aksakalli, Tugay, Adem Utlu, Feyzullah Çelik, Ahmet Cinislioğlu, and İbrahim Karabulut. 2026. “Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy”. New Trends in Medicine Sciences 7 (1): 16-23. https://doi.org/10.56766/ntms.1848528.

EndNote

Aksakalli T, Utlu A, Çelik F, Cinislioğlu A, Karabulut İ (February 1, 2026) Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy. New Trends in Medicine Sciences 7 1 16–23.

IEEE

[1]T. Aksakalli, A. Utlu, F. Çelik, A. Cinislioğlu, and İ. Karabulut, “Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy”, New Trend Med Sci, vol. 7, no. 1, pp. 16–23, Feb. 2026, doi: 10.56766/ntms.1848528.

ISNAD

Aksakalli, Tugay - Utlu, Adem - Çelik, Feyzullah - Cinislioğlu, Ahmet - Karabulut, İbrahim. “Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy”. New Trends in Medicine Sciences 7/1 (February 1, 2026): 16-23. https://doi.org/10.56766/ntms.1848528.

JAMA

1.Aksakalli T, Utlu A, Çelik F, Cinislioğlu A, Karabulut İ. Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy. New Trend Med Sci. 2026;7:16–23.

MLA

Aksakalli, Tugay, et al. “Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy”. New Trends in Medicine Sciences, vol. 7, no. 1, Feb. 2026, pp. 16-23, doi:10.56766/ntms.1848528.

Vancouver

1.Tugay Aksakalli, Adem Utlu, Feyzullah Çelik, Ahmet Cinislioğlu, İbrahim Karabulut. Surgical Outcomes of Two Specimen Extraction Incision Techniques Following Laparoscopic Nephrectomy. New Trend Med Sci. 2026 Feb. 1;7(1):16-23. doi:10.56766/ntms.1848528