caa a22 4500 606248420 CHVBK 20210128101350.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1141-3 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1141-3 Novel Trocarless, Scarless Technique for Left Lobe Liver Retraction in Laparoscopic Upper Gastrointestinal Surgeries: Simple, Cost-effective and with Better Cosmesis [Elektronische Daten] [Manish Madnani, Tejas Patel, Alankar Gupta, Jitendra Mistry, Harshad Soni, Atul Shah, Kantilal Patel, Sanjiv Haribhakti] Surgeons always look for ways to reduce the size and number of ports in laparoscopy, where in today's era, we have single-incision laparoscopic surgery (SILS). While doing so, principal ‘adequate exposure' should not be compromised. For upper gastrointestinal laparoscopic surgeries, we have adopted a novel technique for retraction of the left lobe of liver, which is described here. Device can be made both single sling and double sling, with help of an infant feeding tube and any routinely used suture material. Placement of device does not require any incision, special energy source, or instrument. It can help in SILS. Detailed technique is described in the text. Operative times did not change significantly. Exposure was excellent. No special instruments or energy devices are required; thus, it is cost-effective. Reducing one port for liver retraction gives better cosmetic results. No liver injury due to the device was noticed in any of the cases. This technique is simpler and cheaper and also gives reasonable cosmetic results compared to other techniques described in the literature. Association of Surgeons of India, 2014 Novel device nationallicence Liver retraction nationallicence Upper gastrointestinal nationallicence Laparoscopic nationallicence Single sling nationallicence Double sling nationallicence Hammock nationallicence Madnani Manish Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut Patel Tejas Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut Gupta Alankar Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut Mistry Jitendra Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut Soni Harshad Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut Shah Atul Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut Patel Kantilal Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut Haribhakti Sanjiv Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 1441-1443 0972-2068 77<1441 2015 77 12262 https://doi.org/10.1007/s12262-014-1141-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1141-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Madnani Manish Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut NATIONALLICENCE 700 1- Patel Tejas Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut NATIONALLICENCE 700 1- Gupta Alankar Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut NATIONALLICENCE 700 1- Mistry Jitendra Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut NATIONALLICENCE 700 1- Soni Harshad Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut NATIONALLICENCE 700 1- Shah Atul Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut NATIONALLICENCE 700 1- Patel Kantilal Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut NATIONALLICENCE 700 1- Haribhakti Sanjiv Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, 380052, Ahmedabad, Gujarat, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1441-1443 0972-2068 77<1441 2015 77 12262