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Published in: Journal of Gastrointestinal Surgery 2/2023

11-01-2023 | Hemihepatectomy | How I do it

Novel Traction Method by STRATAFIX Symmetric (Pulley Maneuver) in Laparoscopic Hepatectomy

Authors: Ji Hoon Kim, Sung Chun Cho

Published in: Journal of Gastrointestinal Surgery | Issue 2/2023

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Excerpt

Creating an adequate surgical plane via optimal traction is essential for liver parenchymal tran.1,2 However, creating an appropriate surgical plane field is more technically challenging in laparoscopic hepatectomy compared to that in open hepatectomy owing to the limited instrument mobility and lack of direct use of the operator’s hand. Iatrogenic injury caused by forceful traction of the liver may occur during liver traction. We present a novel traction method using the STRATAFIX Symmetric (Ethicon), which we refer to as the “Pulley maneuver,” for safe and effective parenchymal transection during laparoscopic hepatectomy. …
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Literature
1.
go back to reference Kim JH, Chou JW. Round Ligament Traction Method During Laparoscopic Hemihepatectomy (with Video) J Gastrointest Surg. 2021; 25:861-865CrossRefPubMed Kim JH, Chou JW. Round Ligament Traction Method During Laparoscopic Hemihepatectomy (with Video) J Gastrointest Surg. 2021; 25:861-865CrossRefPubMed
2.
go back to reference Choi SH, Choi GH, Han DH, Choi JS. Laparoscopic liver resection using a rubber band retraction technique: usefulness and perioperative outcome in 100 consecutive cases. Surg Endosc 2015; 29:387–397CrossRefPubMed Choi SH, Choi GH, Han DH, Choi JS. Laparoscopic liver resection using a rubber band retraction technique: usefulness and perioperative outcome in 100 consecutive cases. Surg Endosc 2015; 29:387–397CrossRefPubMed
3.
go back to reference Kim JH, Ryu DH, Jang LC, et al. Lateral approach liver hanging maneuver in laparoscopic anatomical liver resections. Surg Endosc. 2016; 30:3611-3617CrossRefPubMed Kim JH, Ryu DH, Jang LC, et al. Lateral approach liver hanging maneuver in laparoscopic anatomical liver resections. Surg Endosc. 2016; 30:3611-3617CrossRefPubMed
Metadata
Title
Novel Traction Method by STRATAFIX Symmetric (Pulley Maneuver) in Laparoscopic Hepatectomy
Authors
Ji Hoon Kim
Sung Chun Cho
Publication date
11-01-2023
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 2/2023
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-023-05584-1

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