Stomach hanging technique using gauze during laparoscopic gastrectomy

Sh, Kong; Ys, Suh; Han, DS; Hj, Lee; Kim, Ho-Hyun; Yang, Hongseok

doi:10.1111/j.1758-5910.2011.00116.x

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…First, no blood transfusions and negative surgical margins delay tumor recurrence and have a long‐term survival benefit for patients with hepatocellular . Additionally, our device can not only prevent putting extreme pressure on focal areas but also eliminate the risk of crushing the tumor and liver . The device also proffers other advantages.…”

Section: Discussionmentioning

confidence: 99%

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A novel exposure maneuver in laparoscopic right hepatectomy

Shen

Zhang

Sun

et al. 2019

Journal of Surgical Oncology

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Background and objectives Laparoscopic access to the posterosuperior and lateral parts of the right liver is difficult for blocked and deep surgical situations. We invented a novel water bag device (WBD) to improve the exposure of the right liver. Methods Eighteen consecutive patients with lesions isolated to the posterosuperior or lateral right liver were included in our research. They underwent laparoscopic right hepatectomy with the help of the device and were compared with previous similar laparoscopic cases of our operating surgeon. Results The device was successfully employed without related complications and provided enhanced and stable surgical exposure. All patients were operated on without the need for blood transfusions or laparotomy conversion. The median operation time and estimated blood loss were 227 minutes (range, 114‐568) and 88 mL (range, 25‐250), respectively. In all cases, tumor‐free surgical margins were confirmed and no major complications were observed. The results were better than those in previous similar laparoscopic cases. Conclusions The WBD is safe and effective for laparoscopic exposure when lesions are located in the posterosuperior and lateral parts of the right liver. With the help of the device, laparoscopic right liver resection is easier to perform instead of undergoing open hepatectomy.

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Section: Discussionmentioning

confidence: 99%

“…22,23 Additionally, our device can not only prevent putting extreme pressure on focal areas but also eliminate the risk of crushing the tumor and liver. 24 The device also proffers other advantages. First, the use of this device does not require any advanced laparoscopic techniques and can provide steady and prolonged exposure.…”

Section: Discussionmentioning

confidence: 99%

A novel exposure maneuver in laparoscopic right hepatectomy

Shen

Zhang

Sun

et al. 2019

Journal of Surgical Oncology

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“…On the other hand, several studies including totally laparoscopic surgery, researches about laparoscopic sentinel lymph node dissection, or various laparoscopic surgical techniques have been conducted continuously in Korea 49–52. In terms of minimal invasive surgery, intracorporeal anastomosis is necessarily required for totally laparoscopic surgery, whereas the surgeons should be careful with the potential risk of tumor cell spillage from gastric lumen during the anastomosis 53.…”

Section: Laparoscopic Surgery For Gastric Cancermentioning

confidence: 99%

Minimally invasive approaches for gastric cancer—Korean experience

Yang

Suh

Lee

2012

Journal of Surgical Oncology

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Laparoscopic surgery in Korea increased rapidly because of the early detection of gastric cancer by the development of diagnostic tools and nationwide screening. The Korean Laparoscopic Gastrointestinal Surgery Study Group (KLASS group) played a leading role in various projects related with minimally invasive surgery. The justification of minimally invasive procedures including robotic surgery, sentinel-node biopsy, or single-port surgery/Natural Orifice Transluminal Endoscopic Surgery (NOTES) must be predetermined by the clinical trial before a wide application, and the medical industry as well as surgeons should have great responsibility.

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