계명대학교 의학도서관 Repository

Liver Retraction by Double-Sling Suture for Laparoscopic Gastrectomy

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Author(s)
Deok Gie KimHyoung-Il KimAli GunerIn ChoIn Gyu KwonYoon Young ChoiHyun Baek ShinWoo Jin Hyung
Keimyung Author(s)
Kwon, In Gyu
Department
Dept. of Surgery (외과학)
Journal Title
Journal of laparoendoscopic & advanced surgical techniques
Issued Date
2015
Volume
25
Issue
2
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.
Keimyung Author(s)(Kor)
권인규
Publisher
School of Medicine
Citation
Deok Gie Kim et al. (2015). Liver Retraction by Double-Sling Suture for Laparoscopic Gastrectomy. Journal of laparoendoscopic & advanced surgical techniques, 25(2), 112–116. doi: 10.1089/lap.2014.0439
Type
Article
ISSN
1092-6429
Source
https://www.liebertpub.com/doi/abs/10.1089/lap.2014.0439?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
DOI
10.1089/lap.2014.0439
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34151
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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