Abstract
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 the epigastrium and at the pars condensa of the gastrohepatic ligament without any protective material or knotting. Seventy-six patients who underwent various types of laparoscopic upper gastrointestinal surgeries from August, 2012 to March, 2013 at Incheon St. Mary’s Hospital were included in the study. The mean time for the liver retraction was 2.7 ± 0.6 min. Among the 76 cases, complication of this method was one case of the puncture site bleeding on the abdominal wall. The mean levels of alanine aminotransferase and aspartate aminotransferase on the day of the surgery were 54.9 ± 26.3 U/L and 45.2 ± 23.1 U/L, respectively, and these had decreased to 22.4 ± 13.2 U/L and 21.8 ± 14.0 U/L, respectively, on the fourth postoperative day. The prolene hanging-up method is very simple and safe, and it can be used in various types of laparoscopic upper gastrointestinal surgeries.
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References
Saeki H, Oki E, Kawano H et al (2013) Newly developed liver-retraction method for laparoscopic gastric surgery using a silicone disc: the phi-shaped technique. J Am Coll Surg 216:e43–e46
Shinohara T, Kanaya S, Yoshimura F et al (2011) A protective technique for retraction of the liver during laparoscopic gastrectomy for gastric adenocarcinoma: using a Penrose drain. J Gastrointest Surg 15:1043–1048
Woo Y, Hyung WJ, Kim HI et al (2011) Minimizing hepatic trauma with a novel liver retraction method: a simple liver suspension using gauze suture. Surg Endosc 25:3939–3945
Shibao K, Higure A, Yamaguchi K (2011) Disk suspension method: a novel and safe technique for the retraction of the liver during laparoscopic surgery (with video). Surg Endosc 25:2733–2737
Huang CK, Lo CH, Asim S et al (2011) A novel technique for liver retraction in laparoscopic bariatric surgery. Obes Surg 21:676–679
Lee IS, Kim TH, Yook JH et al (2012) A triangle method: simple suture retraction for the left lobe of the liver during laparoscopic gastric surgery. J Laparoendosc Adv Surg Tech A 22:989–991
Goel R, Shabbir A, Tai CM et al (2012) Randomized controlled trial comparing three methods of liver retraction in laparoscopic Roux-en-Y gastric bypass. Surg Endosc 679–684
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Lee, JS., Kim, JJ. & Park, SM. A Simple Method of Liver Retraction for Various Types of Laparoscopic Upper Gastrointestinal Surgeries: The Prolene Hanging-Up Method. World J Surg 39, 2362–2366 (2015). https://doi.org/10.1007/s00268-015-3065-x
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DOI: https://doi.org/10.1007/s00268-015-3065-x