Document Detail

Randomized controlled trial comparing three methods of liver retraction in laparoscopic Roux-en-Y gastric bypass.
MedLine Citation:
PMID:  22773237     Owner:  NLM     Status:  Publisher    
BACKGROUND: This study aimed to evaluate differences between three methods of liver retraction during laparoscopic Roux-en-Y Gastric bypass (LRYGB) and to compare novel liver retraction techniques with the traditional mechanical liver retractor in a randomized controlled trial. METHODS: In this study, 60 obese patients (26 males and 34 females) who underwent LRYGB between January and July 2010 were randomized to one of three groups (20 in each): group 1 (Nathanson liver retractor), group 2 (liver suspension tape), and group 3 (V-shaped liver suspension technique [V-LIST]). Data regarding demographics (age, sex, body mass index); liver function test (LFT) just before surgery; postoperative results immediately, then 18 h, 1 week, and 1 month after surgery; operative data, and visual analog scale (VAS) for pain on postoperative days (PODs) 1 and 2 were calculated and analyzed. RESULTS: The groups did not differ significantly in terms of preoperative LFT or operative data except that group 3 took significantly longer time for liver suspension than group 1 (p = 0.01) or group 2 (p = 0.03). The VAS score in group 2 was significantly lower on POD 1 than in group 1 (p = 0.04). Group 1 showed a significant rise in aspartate aminotransferase (AST) and alanine aminotransferase (ALT) at 18 h compared with group 2 (p < 0.01 and p = 0.02, respectively) and group 3 (p < 0.01 and p = 0.01), at 1 week compared with group 2 (p = 0.04 and 0.04), and in AST levels alone during the immediate postoperative compared with group 3 (p = 0.04). CONCLUSION: The Nathanson liver retractor causes more liver dysfunction than V-LIST or the liver suspension technique and causes more postoperative pain than the liver suspension technique. Both V-LIST and liver suspension tape have a short learning curve and implications for single-port surgery.
Rajat Goel; Asim Shabbir; Chi-Ming Tai; Alvin Eng; Hung-Yen Lin; Su-Long Lee; Chih-Kun Huang
Related Documents :
9870487 - Automated peritoneal dialysis with 'on-line'-prepared bicarbonate-buffered dialysate: t...
7999827 - Moncrief's technique for peritoneal catheter placement: experience of a capd unit.
8399607 - Intraperitoneal vancomycin/oral pefloxacin versus intraperitoneal vancomycin/gentamicin...
834507 - Reye's syndrome: relapses and neurological sequelae.
21970137 - Prophylactic use of midazolam or propofol at the end of surgery may reduce the incidenc...
25081347 - Azathioprine and 6-mercaptopurine for maintenance of surgically-induced remission in cr...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-7
Journal Detail:
Title:  Surgical endoscopy     Volume:  -     ISSN:  1432-2218     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Bariatric and Metabolic International (BMI) Surgery Centre, E-Da Hospital, 1, E-Da Rd, Jian-Shu Tsuen, Yan-Chau Shiang, Kaohsiung 824, Taiwan, ROC.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Ensuring competency: Are fundamentals of laparoscopic surgery training and certification necessary f...
Next Document:  Comparison of treatment outcomes of endoscopic stenting for colonic and extracolonic malignant obstr...