Daley A, Griffiths EA. Advancements in liver retraction techniques for laparoscopic gastrectomy. World J Gastrointest Surg 2025; 17(1): 101055 [PMID: 39872780 DOI: 10.4240/wjgs.v17.i1.101055]
Corresponding Author of This Article
Ewen A Griffiths, FRCS (Gen Surg), MD, Professor, Surgeon, Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Birmingham B15 2GW, West Midlands, United Kingdom. ewen.griffiths@uhb.nhs.uk
Research Domain of This Article
Surgery
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jan 27, 2025; 17(1): 101055 Published online Jan 27, 2025. doi: 10.4240/wjgs.v17.i1.101055
Advancements in liver retraction techniques for laparoscopic gastrectomy
Andrew Daley, Ewen A Griffiths
Andrew Daley, Department of Upper Gastrointestinal Surgery, Queen Elizabeth Hospital, Birmingham B15 2WB, United Kingdom
Ewen A Griffiths, Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2GW, West Midlands, United Kingdom
Ewen A Griffiths, Institute of Immunology and Immunotherapy, College of Medical and Dental Sciences, University of Birmingham, Birmingham B15 2TT, United Kingdom
Author contributions: Both authors contributed to the drafting, editing, submission and revision of this editorial.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ewen A Griffiths, FRCS (Gen Surg), MD, Professor, Surgeon, Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Birmingham B15 2GW, West Midlands, United Kingdom. ewen.griffiths@uhb.nhs.uk
Received: September 3, 2024 Revised: October 6, 2024 Accepted: October 31, 2024 Published online: January 27, 2025 Processing time: 115 Days and 7.1 Hours
Abstract
Traditionally, liver retraction for laparoscopic gastrectomy is done via manual methods, such as the placement of retractors through the accessory ports and using a Nathanson retractor. However, these techniques often posed issues including extra abdominal incisions, risk of liver injury or ischaemia, and the potential for compromised visualization. Over the years, the development of innovative liver retraction techniques has significantly improved the safety and efficacy of laparoscopic gastrectomy and similar other hiatal procedures. This editorial will comment on the article by Lin et al, and compare this to the other liver retractor techniques available for surgeons and highlight the pros and cons of each technique of liver retraction.
Core Tip: The approach of the modified hepatic left lateral lobe inversion technique provides another tool for minimally invasive upper gastrointestinal surgeons to safely retract the liver.
