TITLE

A New Technique for Liver Retraction During Single-Port Laparoscopic Surgery

AUTHOR(S)
Surjan, Rodrigo C.T.; Makdissi, Fabio F.; Machado, Marcel Autran C.
PUB. DATE
January 2014
SOURCE
Journal of Laparoendoscopic & Advanced Surgical Techniques;Jan2014, Vol. 24 Issue 1, p35
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Establishing a clear operative viewing field and adequate working space are essential steps for safe laparoscopic surgery. This aim of this article is to report a new technique of liver retraction during upper gastrointestinal laparoscopic surgery. This technique is fast and simple and precludes the use of special devices. It avoids the use of a subxiphoid trocar exclusive for liver retraction. This technique was designed to be used in single-port laparoscopic surgery but can be used in standard laparoscopic surgery to reduce the number of trocars. The first step is to perform division of the left triangular ligament. The fibrous appendix is identified. A window in the falciform ligament is created. The fibrous appendix is sutured to the peritoneum in the right subcostal area. The left lobe of the liver passes through the window in the falciform ligament, avoiding liver congestion. Optimum exposure of the upper gastrointestinal area is achieved. This new technique is easy and can be performed in various types of laparoscopic gastrointestinal surgeries without the need for specific skills or devices. We believe that our liver retraction technique is useful in single-port laparoscopic surgery and allows an excellent exposure of the upper gastrointestinal tract.
ACCESSION #
93391199

 

Related Articles

  • Single-Port Laparoscopic Floppy Nissen Fundoplication: A Novel Technique with the Aid of the Cerrahpasa Retractor. Eyuboglu, Erhun; Ipek, Turgut; Atasoy, Deniz // Journal of Laparoendoscopic & Advanced Surgical Techniques;Apr2012, Vol. 22 Issue 2, p173 

    With the advent of single-port laparoscopy, the spectrum of abdominal surgeries performed is widening. The retraction of the left lobe of the liver in the upper gastrointestinal procedures is a critical maneuver with its added possible complications. In our study, we used the Cerrahpasa...

  • A Simple Method of Liver Retraction for Various Types of Laparoscopic Upper Gastrointestinal Surgeries: The Prolene Hanging-Up Method. Lee, Jeong-Sun; Kim, Jin-Jo; Park, Seung-Man // World Journal of Surgery;Sep2015, Vol. 39 Issue 9, p2362 

    This study describes a safe and the simple method for liver retraction during various types of laparoscopic upper gastrointestinal surgeries. The technique was performed using only a 75 cm 2-0 prolene suture, which was passed through the abdominal wall with a straight needle at the two points of...

  • Glove-Assisted Laparoscopic Radical Nephrectomy: A Novel Technique. Nozaki, Tetsuo; Asao, Yoshihiro; Ichimatsu, Keisuke; Ito, Takatoshi; Yasuda, Kenji; Watanabe, Akihiko; Komiya, Akira; Fuse, Hideki // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2010, Vol. 20 Issue 10, p843 

    Background: Laparoscopic surgery has not yet met with widespread acceptance due to its degree of technical difficulty. The laparoscopic radical nephrectomy procedure was improved with the aid of an abdominal wall sealing device, a wound retractor, and a surgical glove. Methods: A 5 cm skin...

  • Elevation of Liver Function Tests After Laparoscopic Gastrectomy Using a Nathanson Liver Retractor. Kinjo, Yousuke; Okabe, Hiroshi; Obama, Kazutaka; Tsunoda, Shigeru; Tanaka, Eiji; Sakai, Yoshiharu // World Journal of Surgery;Dec2011, Vol. 35 Issue 12, p2730 

    Background: Although pneumoperitoneum has been suspected as a possible cause of transient elevation of liver function tests (LFTs) after laparoscopic surgery, liver damage by direct retraction could also influence postoperative LFTs. The aim of this study was to clarify whether laparoscopic...

  • Diaphragmatic injury caused by an endo-retractor during laparoscopic cholecystectomy. Chih-Yang Hsiao; Yao-Ming Wu // Journal of Minimal Access Surgery;Jan-Mar2016, Vol. 12 Issue 1, p73 

    Endo-retractors are convenient devices for exposure and traction during minimally invasive surgery and are widely used in laparoscopic cholecystectomy (LC). Complications associated with the use of this device are rare. We present a patient with symptomatic gallstones who underwent LC and...

  • Predictive value of upper gastrointestinal studies versus clinical signs for gastrointestinal leaks after laparoscopic gastric bypass. Madan, A.; Stoecklein, H.; Ternovits, C.; Tichansky, D.; Phillips, J.; Madan, A K; Stoecklein, H H; Ternovits, C A; Tichansky, D S; Phillips, J C // Surgical Endoscopy;Feb2007, Vol. 21 Issue 2, p194 

    Background: The utility of routine upper gastrointestinal (UGI) studies after laparoscopic Roux-en-Y gastric bypass (LRYGB) is a matter of great debate. Because the morbidity and mortality rates associated with an unrecognized postoperative leak are high after LRYGB, diagnosis of a...

  • Endo Mini-RetractTM Laparoscopic Retractor with a Novel Short-cut Nelaton Catheter for Dividing the Vasculature in Laparoscopic Liver Resection. Kawano, Youichi; Taniai, Nobuhiko; Nakamura, Yoshiharu; Yoshioka, Masato; Matsushita, Akira; Mizuguchi, Yoshiaki; Shimizu, Tetsuya; Takane, Yuki; Yoshida, Hiroshi; Uchida, Eiji // Journal of Nippon Medical School;2013, Vol. 80 Issue 6, p446 

    Laparoscopic hepatectomy has become a widespread procedure in Japan, now that the national medical insurance system covers partial resection and lateral segmentectomy. An important procedure during laparoscopic hepatectomy is the division of the vascular pedicles. In this paper we report a...

  • Clinical Experience with a Port-Free Internal Liver Retractor in Laparoscopic Bariatric Surgery. Shimizu, Hideharu; Batayyah, Esam; Rogula, Tomasz // Obesity Surgery;Mar2014, Vol. 24 Issue 3, p478 

    Background: As laparoscopic techniques and instrumentation advance, bariatric surgery has begun to be performed through smaller incisions and fewer ports. Since the visualization of the dorso-lateral portion of the left liver lobe is critical for most bariatric procedures, surgeons have...

  • A novel liver retractor for reduced or single-port laparoscopic surgery. Gan, Philip // Surgical Endoscopy;Jan2014, Vol. 28 Issue 1, p331 

    Background: Retraction of either lobe of liver is required for surgical access to the respective organ. A novel liver retractor device and technique is described, which applies a vacuum between the liver and diaphragm to lift the liver, and which does not require additional incisions. Methods: A...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics