Progress in technique for retraction of liver during laparoscopic radical gastrectomy for gastric cancer
Objective To systematically review the methods,characteristics,and indications of technique for retraction of liver and evaluate their application effects during the laparoscopic radical gastrectomy for gastric cancer,so as to provide reference for clinicians to choose the most suitable liver retraction method.Method The relevant research literature on the application of liver retraction method both domestically and internationally during the laparoscopic radical gastrectomy was reviewed and compared.Results The main liver retraction methods that were used both domestically and internationally included V-shaped retraction,W-shaped retraction,medical adhesive retraction,and liver dilator retraction.Among them,the V-shaped,W-shaped,and liver dilator retraction techniques had been improved according to the situation,but these retraction techniques had their own advantages and disadvantages and could not be completely replaced by each other.Conclusions Currently,there is no absolutely ideal retraction method that is simple,safe,and effective.The specific choice of liver retraction technology needs to be selected based on the patient's specific physical conditions,considering the safety,effectiveness,and rationality of this method.
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