Open AccessLiver retraction using n ‐butyl‐2‐cyanoacrylate glue during single‐incision laparoscopic upper abdominal surgery
Author(s) -
Wu S.,
Yu H.,
Fan Y.,
Kong J.,
Yu X.
Publication year - 2014
Publication title -
british journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.202
H-Index - 201
eISSN - 1365-2168
pISSN - 0007-1323
DOI - 10.1002/bjs.9446
Subject(s) - medicine , cyanoacrylate , surgery , glue , laparoscopic surgery , abdominal surgery , laparoscopy , abdomen surgery , general surgery , chemistry , materials science , adhesive , organic chemistry , layer (electronics) , composite material
Background Liver retraction is critical in single‐incision laparoscopic upper abdominal surgery. Several techniques have been reported. Some need an additional port, whereas others are complicated and time‐consuming.Methods n ‐Butyl‐2‐cyanoacrylate ( NBCA ) glue was applied to bond the left lateral lobe of the liver to the diaphragm in different single‐incision laparoscopic upper abdominal procedures. Liver adhesion time and duration of operation were recorded, and preoperative and postoperative liver function tests carried out.Results All procedures were completed successfully without additional ports or special instruments. The technique provided adequate workspace and a clear view. Mean liver adhesion time was 1·5 min. The maximum operating time was 310 min. Levels of alanine and aspartate aminotransferases were raised on day 1 after surgery but had returned to normal by day 7.Conclusion Creating adhesion between the left lateral lobe of the liver and the diaphragm using NBCA glue is a simple, safe and effective way of achieving liver retraction in single‐incision laparoscopic upper abdominal surgery.