title: Novel Trocarless, Scarless Technique for Left Lobe Liver Retraction in Laparoscopic Upper Gastrointestinal Surgeries: Simple, Cost-effective and with Better Cosmesis.
abstract: 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.
authors.affiliation: Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, Ahmedabad, Gujarat 380052 India ; Department of GI Surgery, Sterling Hospital, Ahmedabad, India.
authors.forename: Manish A
authors.initials: MA
authors.lastname: Madnani
authors.affiliation: Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, Ahmedabad, Gujarat 380052 India ; Department of GI Surgery, Kaizen Hospital, Ahmedabad, India.
authors.forename: Tejas J
authors.initials: TJ
authors.lastname: Patel
authors.affiliation: Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, Ahmedabad, Gujarat 380052 India ; Department of GI Surgery, Sterling Hospital, Ahmedabad, India.
authors.forename: Alankar K
authors.initials: AK
authors.lastname: Gupta
authors.affiliation: Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, Ahmedabad, Gujarat 380052 India ; Department of GI Surgery, Kaizen Hospital, Ahmedabad, India.
authors.forename: Jitendra H
authors.initials: JH
authors.lastname: Mistry
authors.affiliation: Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, Ahmedabad, Gujarat 380052 India ; Department of GI Surgery, Kaizen Hospital, Ahmedabad, India.
authors.forename: Harshad N
authors.initials: HN
authors.lastname: Soni
authors.affiliation: Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, Ahmedabad, Gujarat 380052 India ; Department of GI Surgery, Kaizen Hospital, Ahmedabad, India.
authors.forename: Atul J
authors.initials: AJ
authors.lastname: Shah
authors.affiliation: Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, Ahmedabad, Gujarat 380052 India ; Department of GI Surgery, Kaizen Hospital, Ahmedabad, India.
authors.forename: Kantilal S
authors.initials: KS
authors.lastname: Patel
authors.affiliation: Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132 Feet Ring Road, Helmet Cross Roads, Memnagar, Ahmedabad, Gujarat 380052 India ; Department of GI Surgery, Kaizen Hospital, Ahmedabad, India.
authors.forename: Sanjiv P
authors.initials: SP
authors.lastname: Haribhakti
keywords: Double sling; Hammock; Laparoscopic; Liver retraction; Novel device; Single sling; Upper gastrointestinal