[The suprahepatic approach. An easy laparoscopic access to the hiatus in obese patients].
The conventional laparoscopic access to the gastroesophageal junction involves the retraction the left hepatic lobe upward. This approach could be particularly difficult in obese patients because of a huge fatty liver. The technique described here aims to overcome this difficulty be using a suprahepatic route by displacing the left lobe downward after dividing the left triangular ligament. This approach allows a good exposure of the gastroesophageal junction to perform a fundoplication or a gastric banding.
Slim
K
K
Service de chirurgie générale et digestive, Hôtel-Dieu, Boulevard Léon-Malfreyt, F-63058, Clermont-Ferrand cedex, France. kslim@chu-clermontferrand.fr
D013505:Digestive System Surgical Procedures / Q000379:methods*; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000601:surgery; D009765:Obesity / Q000150:complications*