V-shaped Liver Retraction during a Laparoscopic Gastrectomy for Gastric Cancer.
10.5230/jgc.2010.10.3.133
- Author:
Dong Kyo OH
1
;
Hoon HUR
;
Jun Young KIM
;
Sang Uk HAN
;
Yong Kwan CHO
Author Information
1. Department of Surgery, Ajou University, School of Medicine, Suwon, Korea. hansu@ajou.ac.kr
- Publication Type:Note
- Keywords:
Gastric cancer;
Laparoscopic surgery;
Liver retraction;
Phrenoesophageal ligament
- MeSH:
Gastrectomy;
Hand;
Humans;
Laparoscopy;
Ligaments;
Liver;
Lymph Node Excision;
Lymph Nodes;
Prospective Studies;
Sternum;
Stomach;
Stomach Neoplasms;
Sutures
- From:Journal of Gastric Cancer
2010;10(3):133-136
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to evaluate the effectiveness of our retraction method for achieving a good operative field for the adequate lymph node dissection during laparoscopic gastrectomy in view of short term surgical outcome. MATERIALS AND METHODS: This study prospectively enrolled 19 patients who underwent laparoscopic gastrectomy for early gastric cancer. The procedure was simply performed by putting the laparoscopic sigle suture in the phrenoesophageal ligament, and then the string was pulling and tying over the sternum. Surgical outcomes of these patients were evaluated. RESULTS: Under V-shaped liver retraction, the mean operating time and mean number of retrieved lymph nodes was 166.3 minute and 31.37, respectively. And the results were satisfactory compared to open or conventional laparoscopic gastric surgery. CONCLUSIONS: V-shaped liver retraction requires no extra port or assistant's hands, and prevents additional injury to any intra-abdominal organ. And this method can easily, efficiently and safely enable to achieve a good operative field for the lymph node dissection near the lesser curvature of the stomach.