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Stomach hanging technique using gauze during laparoscopic gastrectomy
Author(s) -
Kong SH,
Suh YS,
Han DS,
Lee HJ,
Kim HH,
Yang HK
Publication year - 2012
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2011.00116.x
Subject(s) - medicine , stomach , surgery , dissection (medical) , fibrous joint , gastrectomy , abdominal cavity , pylorus , abdomen , cancer , gastroenterology
Abstract Introduction Lifting the stomach using laparoscopic instruments during laparoscopic gastrectomy is difficult and increases the risk of crushing the tumor. In this study, we present a stomach hanging technique using gauze pieces that reduces the risk to the tumor. Materials and Surgical Technique After a partial omentectomy and the opening of the lesser sac, the antrum was wrapped with a 15–20‐cm gauze piece. Next, a straight needle with 2‐0 monofilament suture material pierced the abdominal cavity through the right subcostal area on the mid‐clavicular line, and the gauze was then sutured twice in a figure of eight manner. The needle was removed percutaneously through the right middle quadrant of the abdomen. Another suture was applied to wrap the left side of the stomach. The stomach was easily lifted and positioned by pulling the four suture strings in different directions. After the suture materials were fastened to the abdominal wall using hemostat forceps, the surgical field was sufficiently exposed, facilitating lymph node dissection on the superior surface of the pancreas. This method freed the assistant from holding the stomach and enabled this individual to assist the operation in other ways. Discussion This stomach lifting technique using gauze is a good option for exposing the surgical field, enables the assistant to perform other tasks, and reduces the risk of crushing the tumor during laparoscopic gastrectomy.