This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Liver retraction using n‐butyl‐2‐cyanoacrylate glue during single‐incision laparoscopic upper abdominal surgery. BJS 2014; 101: 546-549.

Published: 24th February 2014

Authors: S. Wu, H. Yu, Y. Fan, J. Kong, X. Yu

Background

Liver retraction is critical in single‐incision laparoscopic upper abdominal surgery. Several techniques have been reported. Some need an additional port, whereas others are complicated and time‐consuming.

Method

n‐Butyl‐2‐cyanoacrylate (NBCA) glue was applied to bond the left lateral lobe of the liver to the diaphragm in different single‐incision laparoscopic upper abdominal procedures. Liver adhesion time and duration of operation were recorded, and preoperative and postoperative liver function tests carried out.

Results

All procedures were completed successfully without additional ports or special instruments. The technique provided adequate workspace and a clear view. Mean liver adhesion time was 1·5 min. The maximum operating time was 310 min. Levels of alanine and aspartate aminotransferases were raised on day 1 after surgery but had returned to normal by day 7.

Conclusion

Creating adhesion between the left lateral lobe of the liver and the diaphragm using NBCA glue is a simple, safe and effective way of achieving liver retraction in single‐incision laparoscopic upper abdominal surgery.

Full text

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Liver retraction using n‐butyl‐2‐cyanoacrylate glue during single‐incision laparoscopic upper abdominal surgery. BJS 2014; 101: 546-549.

Background

Method

Results

Conclusion

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