Mitsuru Muto, Masakazu Murakami, Ryuta Masuya, Masahiro Fukuhara, Yuichi Shibui, Nanako Nishida, Chihiro Kedoin, Ayaka Nagano, Koshiro Sugita, Keisuke Yano, Shun Onishi, Toshio Harumatsu, Koji Yamada, Waka Yamada, Takafumi Kawano, Makoto Matsukubo, Tomoko Izaki, Kazuhiko Nakame, Tatsuru Kaj, Ryuichiro Hirose, Atsushi Nanashima, Satoshi Ieiri
Purpose: Severely neurologically impaired patients sometimes require anti-reflux surgery with preceding gastrostomy. We apply a traction technique for laparoscopic fundoplication (LF) without gastrostomy takedown (GTD) in such cases. We conducted a multicenter review to assess the feasibility of our approach. Materials and Methods: In brief, the traction technique involves left-lateral-traction of the stomach body, right-lateral-traction of the round ligament of the liver, and elevation of the left liver lobe to create a sufficient field for manipulating the forceps...
March 1, 2023: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A