New Peritoneal Traction Device for Laparoscopic Paraaortic Lymphadenectomy.
Background
The development of devices that can be used to tract organs or other structures and secure an appropriate surgical field during laparoscopic surgery is clinically important.


Methods
We developed a novel traction stitch, the Laptraction, which can be used to achieve peritoneal traction during laparoscopic surgery. This study examines the utility and safety of using the Laptraction to achieve peritoneal traction during laparoscopic transperitoneal paraaortic lymphadenectomy (as part of comprehensive staging surgery) in seven endometrial cancer patients.


Results
Peritoneal traction was successfully and safely achieved using the Laptraction in all cases, without causing any complications. In all cases, time to deploy Laptraction was <5 min.


Conclusions
Laptraction, a newly developed stitch, allows peritoneal traction to be achieved easily and facilitates the identification of essential landmarks during robotic-assisted laparoscopic hysterectomy, which helps to save time and prevent surgical complications.
['Mabuchi|Seiji|S|', 'Matsumoto|Yuri|Y|', 'Matsubara|Sho|S|']
D000328:Adult D000368:Aged D001011:Aorta D016889:Endometrial Neoplasms D005260:Female D006801:Humans D010535:Laparoscopy D008197:Lymph Node Excision D008875:Middle Aged D010537:Peritoneum D014143:Traction D016896:Treatment Outcome
peritoneal traction paraaortic lymphadenectomy laparoscopic surgery pledget