Differential advantage of liver retraction methods in laparoscopic fundoplication for neurologically impaired patients: a comparison of three kinds of procedures

Harumatsu, Toshio; Nagai, Taichiro; Yano, Keisuke; Onishi, Shun; Yamada, Koji; Yamada, Waka; Matsukubo, Makoto; Muto, Mitsuru; Kaji, Tatsuru; Ieiri, Satoshi

doi:10.1007/s00383-020-04646-8

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…Furthermore, the presence of gastrostomy interferes with visibility and operability. Note that the increase in postoperative serum hepatic enzymes induced by applying a liver retractor was higher than with other methods, 10 we recognize it is useful for maintaining a stable surgical field in patients with a body weight of over 20 kg. And our traction technique provides a sufficient surgical field for manipulating forceps.…”

Section: Discussionmentioning

confidence: 76%

Useful traction technique for laparoscopic fundoplication without removing proceeding gastrostomy in a neurologically impaired patient with a body deformity

Muto

Onishi

Murakami

et al. 2022

Asian J Endoscop Surgery

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Severely neurologically impaired patients often require the creation of a gastrostomy when they develop difficulty with oral intake followed by antireflux surgery. We use a traction technique for laparoscopic fundoplication without removing the gastrostomy in such cases. Right lateral traction of the round ligament of the liver and left lateral traction of the stomach body are performed using a needle device. The left liver lobe is elevated with a liver retractor inserted via the epigastrium. This traction technique allows a sufficient surgical field for manipulating forceps to be created in cases with a gastrostomy, enabling fundoplication to be performed safely without removing the gastrostomy.

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Section: Discussionmentioning

confidence: 76%

Useful traction technique for laparoscopic fundoplication without removing proceeding gastrostomy in a neurologically impaired patient with a body deformity

Muto

Onishi

Murakami

et al. 2022

Asian J Endoscop Surgery

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“…To obtain adequate visibility of the inferior space of the liver, the round ligament of the liver was retracted with 2-0 silk using a 19-G percutaneous loop needle insertion device. In addition, the snake liver retractor was inserted through the trocar of the right upper abdomen to elevate the right lobe of the liver [7]. The tumor, located at the right side of the duodenum, was carefully dissected in a sharp and blunt manner and never directly grasped with forceps to prevent rupture and spillage of the tumor (Fig.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Successful laparoscopic extirpation of a vasoactive intestinal polypeptide-secreting neuroblastic tumor originating from the right adrenal gland: A report of an infantile case

Sugita

Kaji

Nagano

et al. 2020

Preprint

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We herein report a 10-month-old female infant with a 4-month history of diarrhea with electrolyte abnormalities and growth impairment. A 4-cm right adrenal tumor was detected by computed tomography. No metastasis or accumulation on I123metaiodobenzylguanidine scintigraphy was recognized in the tumor. A vasoactive intestinal peptide-secreting neuroblastic tumor was suspected, and octreotide was started, but the diarrhea persisted. Tumor extirpation was performed laparoscopically. After tumor removal, the symptoms improved immediately, and her growth caught up by nine months after surgery. A minimally invasive approach for pediatric solid tumor is difficult, especially for neuroblastoma, but may be beneficial for the patient's recovery.

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Differential gastric emptiness according to preoperative stomach position in neurological impaired patients who underwent laparoscopic fundoplication and gastrostomy

et al. 2021

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Differential advantage of liver retraction methods in laparoscopic fundoplication for neurologically impaired patients: a comparison of three kinds of procedures

Cited by 5 publications

References 13 publications

Useful traction technique for laparoscopic fundoplication without removing proceeding gastrostomy in a neurologically impaired patient with a body deformity

Useful traction technique for laparoscopic fundoplication without removing proceeding gastrostomy in a neurologically impaired patient with a body deformity

Successful laparoscopic extirpation of a vasoactive intestinal polypeptide-secreting neuroblastic tumor originating from the right adrenal gland: A report of an infantile case

Differential gastric emptiness according to preoperative stomach position in neurological impaired patients who underwent laparoscopic fundoplication and gastrostomy

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