Hepatic left lateral segment inversion for laparoscopic radical gastrectomy:a report of ten patients
YAN Shang-cheng
CHEN Ren-wei
PENG Wei
CHENG Ming
REN Rui
SHENG Meng-chao
LIU Tian-hua
CHEN Qiang
WU Yong-you
Abstract：Objective This study aimed to investigate the safety and clinical value of hepatic left lateral segment inversion(HLLSI)technique for laparoscopic radical gastrectomy(LRG).Methods We retrospectively analyzed the clinical data of ten consecutive patients with gastric cancer or adenocarcinoma of esophagogastric junction who underwent HLLSI for LRG from September to October,2023 at Department of Gastrointestinal Surgery,Second Affiliated Hospital of Soochow University.HLLSI was used to expose the surgical field in all patients while short-term outcomes were observed.Results HLLSI was successfully performed in all patients with a mean operating time of 13.7±3.5 min.There was no need for intraoperative re-retraction or change in retraction methods,no esophageal hiatus occlusion,no need for forceps to assist exposure,and no hepatic hemorrhage,hepatic congestion,or hepatic vein injury.Postoperative length of stay was 10.5(10-14)d.No digestive complications of Clavien-Dindo grade ≥Ⅱ occurred within 30 days after surgery,while only two patients had pleural effusion.Alanine aminotransferase and glutamine aminotransferase peaked at postoperative day one in some patients,but fell back significantly at postoperative day three,and returned to the preoperative level at postoperative day seven.Conclusion HLLSI technique was satisfactory for LRG in terms of field visualization,and has advantages in facilitating surgical operation,reducing surgical trauma,protecting the liver,and lowering the surgical cost.
Keywords：liver retractionadenocarcinoma of esophagogastric junctionlaparoscopyradical gastrectomysurgical complications
Publication Date：2024-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 111-114 )