ArticleAsian journal of endoscopic surgery2020
Novel use of the Nathanson liver retractor to prevent postoperative transient liver dysfunction during laparoscopic gastrectomy.
Article in Asian journal of endoscopic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Current evidence and future perspectives on magnet-assisted bariatric surgery (MABS): a systematic review.International journal of obesity (2005) · 2026Pooled it
- A silicone disc for liver retraction in laparoscopic gastrectomy reduces the postoperative increase in the liver enzyme level.Surgery today · 2024Trial
- Association of Early Postoperative Biochemical Markers with a Composite Adverse Perioperative Outcome After Bariatric Surgery.Diagnostics (Basel, Switzerland) · 2026Article
- Hiatal sling liver retraction technique in bariatric and upper gastrointestinal surgeries - Our 15 year experience with 1874 surgeries.Journal of minimal access surgery · 2026Article
- Advancements in liver retraction techniques for laparoscopic gastrectomy.World journal of gastrointestinal surgery · 2025Article
- Evaluating liver function test alterations in laparoscopic right adrenalectomy with different retractors.Northern clinics of Istanbul · 2025Article
- A case-series study of hepatic left lateral segment inversion for surgical field exposure in laparoscopic gastrectomy.BMC surgery · 2024Article
- Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RAS.Frontiers in surgery · 2023Article
- Laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report.Surgical case reports · 2022Article
- K-Wire Retractor, a Trocar-Free Liver Retraction Technique in Bariatric Surgery.Obesity surgery · 2021Article
- Novel use of the Nathanson liver retractor to prevent postoperative transient liver dysfunction during laparoscopic gastrectomy.Asian journal of endoscopic surgery · 2020Article
- Liver Abscess and Prolonged Postoperative Intra-Abdominal Free Air without Anastomotic Leakage after Laparoscopic Gastrectomy.Case reports in gastroenterologyArticle
- Risk Factors for Postoperative Liver Enzyme Elevation After Laparoscopic Gastrectomy for Gastric Cancer.In vivo (Athens, Greece)Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe Nathanson liver retractor (N) has been known to cause postoperative transient liver dysfunction (POTLD) in laparoscopic gastrectomy (LG). To reduce the incidence of POTLD, specifically we added to the retractor the use of a disk (N + D) to reduce the localized pressure, and furthermore repositioned the retractor every 30 minutes (N + D TM) to reduce the liver retraction time. Before and after introducing this retractor, we assessed four consecutive retraction procedures. These included the following disk suspension methods (D), N, N + D, and N + D TM.
methodsWe retrospectively enrolled 85 patients who underwent an LG. In the D, N, N + D, and N + D TM groups, we evaluated the postoperative serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) values.
resultsFor the D and N groups, the AST value significantly increased from the immediate post-operation time point (IPOT) to the third postoperative day (POD3). Additionally, the ALT value increased from IPOT to POD7. In the N + D group, the only decrease was in the ALT value at IPOT compared to the N group. The N + D TM group decreased in both the AST value from IPOT to POD3 and in the ALT value from IPOT to POD7, compared to the N group.
conclusionsOur findings demonstrate the importance of reducing both the localized pressure and liver retraction time when using the Nathanson retractor to prevent POTLD during an LG. To make this possible, we successfully introduced the use of both a disk and the repositioning of the retractor at 30 minute intervals.
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