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Liver Retraction by Double-Sling Suture for Laparoscopic Gastrectomy

Authors
 Deok Gie Kim  ;  Hyoung-Il Kim  ;  Ali Guner  ;  In Cho  ;  In Gyu Kwon  ;  Yoon Young Choi  ;  Hyun Baek Shin  ;  Woo Jin Hyung 
Citation
 JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, Vol.25(2) : 112-116, 2015 
Journal Title
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
ISSN
 1092-6429 
Issue Date
2015
MeSH
Adenocarcinoma/surgery* ; Aged ; Female ; Gastrectomy/methods* ; Humans ; Laparoscopy/methods ; Liver/surgery* ; Liver Function Tests ; Male ; Middle Aged ; Operative Time ; Postoperative Complications* ; Punctures/methods* ; Retrospective Studies ; Stomach Neoplasms/surgery* ; Suture Techniques* ; Sutures ; Video Recording
Abstract
Background: To provide an optimal operative view for upper abdominal laparoscopic surgery, we developed a liver retraction method using a double-sling suture (DSS). The current report describes this method and compares the clinical results with the liver puncture (LP) retraction method. Materials and Methods: The data and video recordings of patients who underwent laparoscopic gastrectomy for gastric adenocarcinoma by a single surgeon from May 2009 to October 2013 were retrospectively analyzed. Results: Of the 189 patients included, 73 underwent surgery with the DSS method, and 116 underwent surgery with the LP method. Both groups exhibited no complications directly related to liver retraction. Compared with the LP group, the DSS group had a higher American Society of Anesthesiologists' physical status score, shorter operation time (153.2±42.1 minutes versus 224.8±83.3 minutes [P<.001]), shorter liver retraction time (200.1±76.8 seconds versus 231.4±97.5 seconds [P=.023]), and less elevation of activities of liver enzymes. Conclusions: Our DSS liver retraction method provided rapid and safe liver retraction for laparoscopic gastrectomy compared with the LP method. This method should also be useful for other laparoscopic upper abdominal surgery requiring liver retraction.
Full Text
http://online.liebertpub.com/doi/abs/10.1089/lap.2014.0439
DOI
10.1089/lap.2014.0439
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyoung Il(김형일) ORCID logo https://orcid.org/0000-0002-6134-4523
Shin, Hyun Beak(신현백)
Choi, Yoon Young(최윤영) ORCID logo https://orcid.org/0000-0002-2179-7851
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140271
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