ArticleObesity surgery2021
K-Wire Retractor, a Trocar-Free Liver Retraction Technique in Bariatric Surgery.
Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Hiatal sling liver retraction technique in bariatric and upper gastrointestinal surgeries - Our 15 year experience with 1874 surgeries.Journal of minimal access surgery · 2026Article
- Elastic Intra-corporeal Retractor for Bariatric and Upper Gastrointestinal Surgery.Obesity surgery · 2024Article
- Needle Insertion Through the Abdominal Wall Fatty Tissue Area for Liver Retraction May Decrease the Incidence of Bleeding in Bariatric Surgery.Obesity surgery · 2023Article
- Liver retraction using an L-shaped retractor during sleeve gastrectomy.Surgery today · 2022Article
- A Trocar-Free and Low-cost Method for Liver Retraction in Laparoscopic Gastric Surgery.Obesity surgery · 2022Article
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLiver retractor helps in the provision of an adequate operative field in bariatric surgery. Though several retractors have been introduced, an optimal retraction method is yet to be desired. We have developed a K-wire retractor, a simple trocar-free liver retractor used in our bariatric surgery. The efficacy and safety of the K-wire retractor were examined.
methodsA retrospective review was performed on patients undergoing laparoscopic bariatric surgery from January 2016 to April 2019. Based on the application of liver retractors during surgery, patients were divided into the K-wire retractor group and the suture-based retractor group for comparative analyses. Patients with severe liver injury or missing data, or treated with other types of retractors were excluded.
resultsA total of 317 patients were included in our study and there was no conversion to open surgery. There were no significant differences in patient demographics (age, gender, BMI) and types of bariatric surgery between the two groups. The time taken for placement of retractor was significantly shorter in the K-wire retractor group, in addition to higher operative view score and lesser ALT/AST elevation compared with the suture-based retractor group. Although the K-wire retractor group was less inclined to require additional retraction techniques, patients with BMI ≥ 50 Kg/m
conclusionThe trocar-free K-wire liver retractor is safe, simple, and effective as a standard liver retraction method in bariatric surgery.
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