Daley Andrew, Griffiths Ewen A
Department of Upper Gastrointestinal Surgery, Queen Elizabeth Hospital, Birmingham B15 2WB, United Kingdom.
Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2GW, West Midlands, United Kingdom.
World J Gastrointest Surg. 2025 Jan 27;17(1):101055. doi: 10.4240/wjgs.v17.i1.101055.
Traditionally, liver retraction for laparoscopic gastrectomy is done manual methods, such as the placement of retractors through the accessory ports and using a Nathanson retractor. However, these techniques often posed issues including extra abdominal incisions, risk of liver injury or ischaemia, and the potential for compromised visualization. Over the years, the development of innovative liver retraction techniques has significantly improved the safety and efficacy of laparoscopic gastrectomy and similar other hiatal procedures. This editorial will comment on the article by Lin , and compare this to the other liver retractor techniques available for surgeons and highlight the pros and cons of each technique of liver retraction.
传统上,腹腔镜胃切除术的肝脏牵拉是通过手动方法进行的,例如通过辅助端口放置牵开器并使用纳森森牵开器。然而,这些技术常常带来一些问题,包括额外的腹部切口、肝损伤或缺血的风险以及视野受限的可能性。多年来,创新肝脏牵拉技术的发展显著提高了腹腔镜胃切除术及类似其他裂孔手术的安全性和有效性。这篇社论将对林的文章进行评论,并将其与外科医生可用的其他肝脏牵开技术进行比较,突出每种肝脏牵拉技术的优缺点。