Lee Jeong-Sun, Kim Jin-Jo, Park Seung-Man
Department of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, 327 Sosa-ro, Wonmi-gu, Bucheon-si, Gueonggi-do, 420-717, Korea,
World J Surg. 2015 Sep;39(9):2362-6. doi: 10.1007/s00268-015-3065-x.
This study describes a safe and the simple method for liver retraction during various types of laparoscopic upper gastrointestinal surgeries. The technique was performed using only a 75 cm 2-0 prolene suture, which was passed through the abdominal wall with a straight needle at the two points of the epigastrium and at the pars condensa of the gastrohepatic ligament without any protective material or knotting. Seventy-six patients who underwent various types of laparoscopic upper gastrointestinal surgeries from August, 2012 to March, 2013 at Incheon St. Mary's Hospital were included in the study. The mean time for the liver retraction was 2.7 ± 0.6 min. Among the 76 cases, complication of this method was one case of the puncture site bleeding on the abdominal wall. The mean levels of alanine aminotransferase and aspartate aminotransferase on the day of the surgery were 54.9 ± 26.3 U/L and 45.2 ± 23.1 U/L, respectively, and these had decreased to 22.4 ± 13.2 U/L and 21.8 ± 14.0 U/L, respectively, on the fourth postoperative day. The prolene hanging-up method is very simple and safe, and it can be used in various types of laparoscopic upper gastrointestinal surgeries.
本研究描述了一种在各类腹腔镜上消化道手术中进行肝脏牵拉的安全且简单的方法。该技术仅使用一根75厘米长的2-0聚丙烯缝线，通过腹壁上腹部的两点以及肝胃韧带致密部，使用直针穿过，无需任何保护材料或打结。纳入了2012年8月至2013年3月在仁川圣母医院接受各类腹腔镜上消化道手术的76例患者。肝脏牵拉的平均时间为2.7±0.6分钟。在这76例病例中，该方法的并发症为1例腹壁穿刺部位出血。手术当天丙氨酸转氨酶和天冬氨酸转氨酶的平均水平分别为54.9±26.3 U/L和45.2±23.1 U/L，术后第四天分别降至22.4±13.2 U/L和21.8±14.0 U/L。聚丙烯悬吊法非常简单且安全，可用于各类腹腔镜上消化道手术。
