La voie supra-hépatique. Un abord laparoscopique aisé de la région hiatale chez les patients obèses

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• 作者：Slim ; K.
• 关键词：Laparoscopie ; Fundoplicature ; Technique chirurgicale ; Obé ; sité ; Laparoscopy ; Fundoplication ; Surgical technique ; Obesity
• 刊名：Annales de Chirurgie
• 出版年：2002
• 期刊代码：10_00033944
• 类别：med
• 出版时间：December, 2002
• 卷：127
• 期：1
• 页码：791-793
• 文件大小：508 K

摘要

The conventional laparoscopic access to the gastrœsophageal junction involves the retraction the left hepatic lobe upward. This approach could be particularly difficult in obese patients because of a huge fatty liver. The technique described here aims to overcome this difficulty be using a suprahepatic route by displacing the left lobe downward after deviding the left triangular ligament. This approach allows a good exposure of the gastrœsophageal junction to perform a fundoplication or a gastric banding.