Yilmaz Huseyin, Alptekin Husnu
Department of Surgery, Selcuklu Medical Faculty, University of Selcuk, Konya, Turkey.
Surg Laparosc Endosc Percutan Tech. 2012 Oct;22(5):e265-6. doi: 10.1097/SLE.0b013e31825efc5b.
Retraction of the left lobe of the liver without inserting an additional trocar poses a major problem in single-incision laparoscopic Nissen fundoplication. The adequate visibility of the crural area can be achieved by liberalizing the fibrous appendix. The main principle of this new technique is to make the crural window visible by folding the left lobe of the liver upon itself. Single-incision Nissen fundoplication may be easily performed with this new liver retraction technique.
在单切口腹腔镜尼氏胃底折叠术中，不额外插入套管针而牵拉肝左叶是一个主要问题。通过松解纤维附件可获得足够的膈脚区域视野。这项新技术的主要原理是通过将肝左叶自身折叠使膈脚窗口可见。采用这种新的肝脏牵拉技术，单切口尼氏胃底折叠术可轻松完成。
