Abstract
Purpose
Retraction of the liver is essential in laparoscopic sleeve gastrectomy. Recently, a new internal liver retractor, the LiVac® device, has been introduced. The current video report (run-time 7:26 min) seeks to demonstrate the efficacy and safety of the LiVac® trocar-free liver retractor in laparoscopic sleeve gastrectomy.
Materials and Methods
The LiVac® retractor is inserted besides an abdominal trocar and uses the vacuum system of the operating room without the need for specific devices. The liver is retracted without the need of an assistant or extra trocars.
Results
The present case is a laparoscopic sleeve gastrectomy in a 30-year-old woman with morbid obesity (BMI 45.3 kg/m2). The LiVac® retractor provided an excellent view of the operative field. No problems or device-related complications occured during the procedure.
Conclusions
The LiVac liver retractor was easy to applicate in the presented case and provided a good exposure of the operative field.
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References
Belachew M et al. Laparoscopic adjustable gastric banding. World J Surg. 1998;22(9):955–63.
Gan, P. and J. Bingham, A clinical study of the LiVac laparoscopic liver retractor system. Surg Endosc, 2015.
Gan P. A novel liver retractor for reduced or single-port laparoscopic surgery. Surg Endosc. 2014;28(1):331–5.
Acknowledgment
The authors want to thank Dr Philip Gan for the professional exchange of experiences with the LiVac® device.
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Funding/Grant Information
There was no funding in this study.
Conflict of Interests
Christian Benzing, Felix Krenzien, Tido Junghans, Claudia Bothe Johann Pratschke, and Ricardo Zorron declare that they have no conflict of interest.
Informed Consent
The present report is a retrospectively analyzed case and video; informed consent is thus technically not available.
Human and Animal Rights
The study has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
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Benzing, C., Krenzien, F., Junghans, T. et al. Intraabdominal Trocar-Free Vacuum Liver Retractor for Laparoscopic Sleeve Gastrectomy (Video). OBES SURG 26, 1654–1655 (2016). https://doi.org/10.1007/s11695-016-2245-6
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DOI: https://doi.org/10.1007/s11695-016-2245-6