Abstract
Laparoscopic distal pancreatectomy (LDP) is the recommended procedure for benign and low-grade malignant tumors. Adequate exposure is crucial to perform surgery of the deeply situated pancreas behind the stomach. A variety of gastric retractors have been reported; however, a simple, easy application retractor that provides constant, adequate surgical field is still desired. We have developed a novel trocar-free gastric retractor that facilitates safe dissection in LDP.
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References
Asbun HJ, Moekotte AL, Vissers FL et al (2020) The Miami international evidence-based guidelines on minimally invasive pancreas resection. Ann Surg 271:1–14
de Rooij T, van Hilst J, van Santvoort H et al (2019) Minimally invasive versus open distal pancreatectomy (LEOPARD): a multicenter patient-blinded randomized controlled trial. Ann Surg 269:2–9
Midya S, Ramus J, Hakim A et al (2020) Comparison of two types of liver retractors in laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg 30:233–237
Gan P (2014) A novel liver retractor for reduced or single-port laparoscopic surgery. Surg Endosc 28:331–335
Kinjo Y, Okabe H, Obama K et al (2011) Elevation of liver function tests after laparoscopic gastrectomy using a Nathanson liver retractor. World J Surg 35:2730–2738
Bassi C, Marchegiani G, Dervenis C et al (2017) The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after. Surgery 161:584–591
de Rooij T, Sitarz R, Busch OR et al (2015) Technical aspects of laparoscopic distal pancreatectomy for benign and malignant disease: review of the literature. Gastroenterol Res Pract 2015:472906
Hirono S, Hayata K, Kawai M et al (2020) Complete REtraction of the StomaCh using pEnrose draiN and liver reTractor (CRESCENT) during laparoscopic distal pancreatectomy. Langenbecks Arch Surg 405:1243–1250
Supe AN, Kulkarni GV, Supe PA (2010) Ergonomics in laparoscopic surgery. Journal of minimal access surgery 6:31–36
Surjan RC, Basseres T, Makdissi FF, et al. (2015) Innovative technique for gastric retraction during laparoscopic distal pancreatectomy: the marionette. J Surg Case Rep 2015:rjv157.
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This study was in accordance with the ethical standards of the institutional and/or national research committee and with the Declaration of Helsinki (as revised in 2013) (REC approval number 64–410-10–4).
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Supplementary file1 Supplementary Video 1 Demonstration of the steps to produce a trocar-free gastric retractor. (MP4 18689 KB)
Supplementary file2 Supplementary Video 2 Demonstration of how to use the trocar-free gastric retractor and achieve exposure during laparoscopic distal pancreatectomy. (MP4 95569 KB)
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Jearanai, S., Wiboonkhwan, Na., Thongkan, T. et al. Novel Trocar-Free Gastric Retractor in Laparoscopic Distal Pancreatectomy. Indian J Surg 84 (Suppl 2), 500–503 (2022). https://doi.org/10.1007/s12262-022-03491-4
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DOI: https://doi.org/10.1007/s12262-022-03491-4