Evaluation of veress needle as a liver retraction technique in laparoscopic sleeve gastrectomy

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dc.contributor.authorErtekin, Süleyman Çağlar
dc.contributor.authorAkbulut, Gökhan
dc.contributor.authorTurgut, Emre
dc.contributor.authorAkyol, Hüseyin
dc.contributor.authorErgenç, Muhammer
dc.contributor.authorYeğen, Cumhur
dc.date.accessioned2024-12-10T11:29:39Z
dc.date.available2024-12-10T11:29:39Z
dc.date.issued2024en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü,Genel Cerrahi Ana Bilim Dalıen_US
dc.description.abstractBackground: Liver retraction management in laparoscopic sleeve gastrectomy (LSG) is challenging for surgeons, especially in patients with enlarged livers. Traditional methods, such as the Nathanson retractor (NR), often necessitate additional incisions, potentially increasing liver enzymes and increasing the risk of complications. The aim of this study was to evaluate the efficacy of the use of a Veress needle (VN), an alternative liver retraction technique, in LSG surgery compared with NR. Materials and methods: This study was conducted at a university-affiliated hospital between May 2022 and December 2022. Patients who underwent LSG were divided into two groups: one utilizing the NR and the other employing the VN for liver retraction. Parameters such as operation duration, retraction time, liver laceration, trocar-induced hemorrhage, subxiphoid trocar site infections, pain scores measured via the visual analog scale (VAS) at various time points, pre- and postoperative liver enzyme levels (AST, ALT, GGT, ALP) and CRP levels were analyzed. Results: Data from 151 patients were analyzed. The AST/ALT elevations (P < 0.001) were significantly lower in the VN group (73 patients) than in the NR group (78 patients), while there was no significant difference in GGT/ALP levels. Retraction-related bleeding was significantly greater in the NR group than in the VN group (6.4% vs 0%, P = 0.035). Postoperative infection rate was lower in the VN group but not statistically significant (0% vs 3.8%, P = 0.135). CRP differences were significant on the first postoperative day (P < 0.001). Postoperative VAS scores were significantly lower in the VN group at all measured time points except at the 48th hour and 10th day. Conclusions: The VN technique in LSG significantly reduces liver enzyme elevation and the need for an extra trocar and incision, potentially lowering complication risk and enhancing patient outcomes.en_US
dc.identifier.citationErtekin, S. Ç., Akbulut, G., Turgut, E., Akyol, H., Ergenç, M., Yeğen, C. (2024). Evaluation of veress needle as a liver retraction technique in laparoscopic sleeve gastrectomy. Surgical Innovation. 10.1177/15533506241305894en_US
dc.identifier.issn1553-3506
dc.identifier.issn1553-3514
dc.identifier.scopus2-s2.0-85211218797
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5080
dc.identifier.wosWOS:001371469800001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorErtekin, Süleyman Çağlar
dc.institutionauthorAkyol, Hüseyin
dc.language.isoen
dc.relation.ispartofSurgical Innovation
dc.relation.isversionof10.1177/15533506241305894en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLiver enzymesen_US
dc.subjectLiver retractionen_US
dc.subjectObesity surgeryen_US
dc.subjectVeress needleen_US
dc.titleEvaluation of veress needle as a liver retraction technique in laparoscopic sleeve gastrectomy
dc.typeArticle

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