Safety and Feasibility of Electro-Vaporization of Ligamentum Teres Hepatis in Totally Laparoscopic Gastrectomy
作者全名："Yang, Fuyu; Tang, Chenglin; He, Fan; Chen, Defei; Woraikat, Saed; Luo, Yong; Liao, Gang; Qian, Kun"
作者地址："[Yang, Fuyu; Tang, Chenglin; He, Fan; Chen, Defei; Woraikat, Saed; Liao, Gang; Qian, Kun] Chongqing Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, Chongqing 400016, Peoples R China; [Luo, Yong] Chongqing Publ Hlth Med Ctr, Dept Gen Surg, Chongqing, Peoples R China"
通信作者："Liao, G; Qian, K (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, Chongqing 400016, Peoples R China."
来源：JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
ESI学科分类：CLINICAL MEDICINE
WOS号：WOS:001250262900001
JCR分区：Q3
影响因子：1.3
年份：2024
卷号：34
期号：8
开始页：721
结束页：726
文献类型：Article
关键词：electro-vaporization of ligamentum teres hepatis; totally laparoscopic gastrectomy; safety; feasibility
摘要："Introduction: The ligamentum teres hepatis may block the field of vision during totally laparoscopic gastrectomy (TLG), especially in patients with obesity.Aim: We used electrocautery to increase the visual field of TLG by shrinking the ligamentum teres hepatis. This procedure is termed electro-vaporization of the ligamentum teres hepatis (EVLTH).Methods: Patients with body mass index (BMI) >= 24 who underwent total laparoscopic distal gastrectomy (TLDG) or total laparoscopic total gastrectomy (TLTG) between January 2020 and December 2023 were retrospectively enrolled. According to the scope of gastrectomy and whether the patients underwent EVLTH, the patients were divided into the TLDG-EVLTH, TLDG-NEVLTH, TLTG-EVLTH, and TLTG-NEVLTH groups. The clinical characteristics, surgical outcomes, and pathological features were compared between the TLDG-EVLTH and TLDG-NEVLTH groups and the TLTG-EVLTH and TLTG-NEVLTH groups.Results: This study included 65 patients who underwent TLDG (EVLTH: NEVLTH = 29:36) and 32 patients who underwent TLTG (EVLTH:NEVLTH = 15:17). There were no significant differences in clinical characteristics, surgical outcomes, and pathological features between the TLDG-EVLTH and TLDG-NEVLTH groups. However, the operation time in the TLTG-EVLTH group was significantly shorter than that in the TLTG-NEVLTH group, and the difference was statistically significant, although differences in other data were not statistically significant.Conclusions: EVLTH is a simple and safe procedure that reduces the operation time of TLTG in patients who are overweight and enhances the field of vision of TLG."
基金机构：Natural Science Foundation of Chongqing [cstc2020jcyj-msxmX0270]; Chongqing Medical University Future Medical Youth Innovation Team Development Support program [03030299QC-W0007]; Study on the role of a new PPARgamma transcription cofactorSTK38L in adipogenic differentiation of human adipocytes [cstc2021jcyj-msxmX0286]
基金资助正文："This work was supported by the Natural Science Foundation of Chongqing (Grant number cstc2020jcyj-msxmX0270), the Chongqing Medical University Future Medical Youth Innovation Team Development Support program (Grant number 03030299QC-W0007), and the study on the role of a new PPAR gamma transcription cofactorSTK38L in adipogenic differentiation of human adipocytes (Grant number cstc2021jcyj-msxmX0286)"
