Veress Needle: A Simple Liver Retraction Technique for Lap Band Positioning in (Single Incision Laparoscopic Technique) SILS

  title={Veress Needle: A Simple Liver Retraction Technique for Lap Band Positioning in (Single Incision Laparoscopic Technique) SILS},
  author={Segato Gianni and Maurizio De Luca and Banzato Oscar and Ceoloni Andrea and Busetto Luca and Ashton David and Favretti Franco},
  journal={Obesity Surgery},
To the Editor:Sir,We read with interest the recent articles of Nguyen et al. [ 1]and of Reavis et al. [ 2] reporting their experience withadjustable gastric banding and sleeve gastrectomy, respec-tively, utilizing a novel minimally invasive surgical approach:single incision laparoscopic surgery (SILS).Recent publications confirm the rapid increase in the useof SILS, not only for bariatric surgery but for a wide rangeof routine laparoscopic procedures [3–10]. In most of thepublished reports, it… 
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The transumbilical single-incision laparoscopic technique in the treatment of achalaisa and hiatus hernia is feasible for an experienced laparoscope surgeon with excellent cosmetic effect and Cyanoacrylate offers a safe and simple solution to the problem of liver retraction, thus obviating the need for a stay suture or liver retractor.
Single-port laparoscopic floppy Nissen fundoplication: a novel technique with the aid of the Cerrahpasa retractor.
The Cerrahpasa retractor is used for the retraction of the left liver in 22 patients with a different concept other than using the suturing or silk lace techniques described in previous studies to believe that the problem of liver retraction is being solved by a simple and safe technique.
A percutaneous technique of liver retraction in laparoscopic bariatric & upper abdominal surgery.
Two Hundred Seventy-Five Single-Incision Laparoscopic Gastric Band Insertions: What Have We Learnt?
Single-incision laparoscopic adjustable gastric banding can be performed safely with minimal morbidity in the morbidly obese patient, and the technique has a high rate of success for all BMIs.
Single-Access Laparoscopic Adjustable Gastric Band Removal: Technique and Initial Experience
LAGBR can be safely performed through SAL thanks to the use of only reusable material, the laparoscopic working triangulation is established as well as the ergonomic positions of the surgeon.
Positioning Trocars for Performing Sleeve Gastrectomy. Points of Controversy
It is easier to continue the section upward from the patient’s right side as it allows for pushing the gastric tube with the stapler to the right while the surgeon pulls the specimen to the left at the same time, and its direction makes the surgeon to get away from the angle of His, while the contrary occurs when theStapler is introduced from the patients’ left side.
Multi-Purpose Dynamic Use of Right Subcostal Trocar in Laparoscopic Sleeve Gastrectomy: Retrospective Analysis of a Single Center Experience
Right subcostal trocar in laparoscopic sleeve gastrectomy for liver retraction can be successfully used without risks of postoperative morbidity and clear inspection of the surgical field with traction of the respective area.
Liver retraction using n-butyl-2-cyanoacrylate glue during laparoscopic cholecystectomy
Abstract There might be a thick “protrusion” in the visceral surface of hepatic quadrate lobe during the laparoscopic cholecystectomy (LC), which affects the surgical fields and consequently triggers


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The first case of a patient receiving laparoscopic Roux-en-Y gastric bypass through a single transumbilical incision is described; the patient did very well postoperatively and was discharged 2 days later.
Transumbilical Totally Laparoscopic Single-Port Nissen Fundoplication: A New Method of Liver Retraction: The Istanbul Technique
Totally laparoscopic transumbilical SP Nissen fundoplication procedure was performed in three patients for sliding hiatal hernia with GERD, a safe and feasible technique for the surgical treatment of GERD.
Single Laparoscopic Incision Transabdominal (SLIT) Surgery—Adjustable Gastric Banding: A Novel Minimally Invasive Surgical Approach
A novel surgical technique for placement of an adjustable gastric band utilizing a single laparoscopic incision which was ultimately used for implanting the subcutaneous access port.
Magnetic retraction in natural-orifice transluminal endoscopic surgery (NOTES): addressing the problem of traction and countertraction.
The authors' basic system provided critical liver retraction during NOTES cholecystectomy and was also instrumental in moving and stabilizing mesh for implantation during NotES ventral hernia repair, suggesting magnets can potentially provide the vigorous traction and countertraction required to advance NOTES procedures.
Single port access adrenalectomy.
The first single port access adrenalectomy is reported in a 63-year-old, otherwise healthy Caucasian female who had a 4.5-cm left adrenal mass that was incidentally discovered on computed tomography scan of the abdomen and pelvis.
Single‐port laparoscopy in colorectal surgery
The authors utilized an embryologic natural orifice, the umbilicus, as sole access to the abdomen to perform a colorectal procedure using a Uni‐X™ Single‐Port Access Laparoscopic System with a multi‐channel cannula and specially designed curved laparoscopic instrumentation.
Mini-laparoscopic versus laparoscopic approach to appendectomy
It is concluded that the needlescopic technique is a safe and effective approach to appendectomy when performed by experienced laparoscopic surgeons, and results in significantly shorter postoperative convalescence and a prompt recovery.
Microlaparoscopic vs conventional laparoscopic cholecystectomy: a prospective randomized double-blind trial.
The use of 3.5-mm trocars is feasible in LC, and it both reduces incisional pain and improves the cosmetic result.
Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy).
The surgical outcome of the first 25 patients in whom the Pelosi single-puncture laparoscopic appendectomy technique was employed demonstrates the new approach as a safe, inexpensive and effective
Principle and history of Natural Orifice Translumenal Endoscopic Surgery (NOTES)
  • S. Giday, S. Kantsevoy, A. Kalloo
  • Medicine
    Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy
  • 2006
The history and principles of natural orifice translumenal endoscopic surgery (NOTES), along with future implications, are outlined in this article.