{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:55:57Z","timestamp":1791384957873,"version":"4.3.3"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1007\/s11695-026-08920-x","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T01:27:23Z","timestamp":1788744443000},"page":"5377-5387","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Elastic Intracorporeal Retraction in Laparoscopic Bariatric Surgery: Performance, Safety, and Multi-Organ Applications"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5377-4996","authenticated-orcid":false,"given":"Youssef","family":"Andraos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0174-4445","authenticated-orcid":false,"given":"Safwan","family":"Taha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2137-9219","authenticated-orcid":false,"given":"Riwa","family":"Deghaim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"issue":"4","key":"8920_CR1","doi-asserted-by":"publisher","first-page":"1068","DOI":"10.1007\/s11695-018-03655-w","volume":"29","author":"M Davis","year":"2019","unstructured":"Davis M, Davalos G, Ortega C, Chen S, Schimpke S, Jain-Spangler K, et al. Magnetic liver retraction: an incision-less approach for less invasive bariatric surgery. Obes Surg. 2019;29(4):1068\u201373. https:\/\/doi.org\/10.1007\/s11695-018-03655-w.","journal-title":"Obes Surg"},{"issue":"3","key":"8920_CR2","doi-asserted-by":"publisher","first-page":"198","DOI":"10.4103\/0972-9941.158142","volume":"11","author":"P Praveenraj","year":"2015","unstructured":"Praveenraj P, Gomes RM, Kumar S, Perumal S, Senthilnathan P, Parthasarathi R, et al. Review of various liver retraction techniques in single incision laparoscopic surgery for the exposure of hiatus. J Minim Access Surg. 2015;11(3):198\u2013202. https:\/\/doi.org\/10.4103\/0972-9941.158142.","journal-title":"J Minim Access Surg"},{"issue":"1","key":"8920_CR3","doi-asserted-by":"publisher","first-page":"117","DOI":"10.4293\/108680811X13022985131651","volume":"15","author":"AP Tamhankar","year":"2011","unstructured":"Tamhankar AP, Kelty CJ, Jacob G. Retraction-related liver lobe necrosis after laparoscopic gastric surgery. JSLS. 2011;15(1):117\u201321. https:\/\/doi.org\/10.4293\/108680811X13022985131651.","journal-title":"JSLS"},{"issue":"6","key":"8920_CR4","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1016\/j.crad.2014.01.008","volume":"69","author":"KE Orr","year":"2014","unstructured":"Orr KE, Williams MP. MDCT of retractor-related hepatic injury following laparoscopic surgery: appearances, incidence, and follow-up. Clin Radiol. 2014;69(6):606\u201310. https:\/\/doi.org\/10.1016\/j.crad.2014.01.008.","journal-title":"Clin Radiol"},{"issue":"1","key":"8920_CR5","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1007\/s11695-019-04142-6","volume":"30","author":"S Midya","year":"2020","unstructured":"Midya S, Ramus J, Hakim A, Jones G, Sampson M. Comparison of two types of liver retractors in laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg. 2020;30(1):233\u20137. https:\/\/doi.org\/10.1007\/s11695-019-04142-6.","journal-title":"Obes Surg"},{"issue":"7","key":"8920_CR6","doi-asserted-by":"publisher","first-page":"2730","DOI":"10.1007\/s11695-024-07349-4","volume":"34","author":"C Mouawad","year":"2024","unstructured":"Mouawad C, Andraos Y, Sleilati F. Elastic intra-corporeal retractor for bariatric and upper gastrointestinal surgery. Obes Surg. 2024;34(7):2730\u20135. https:\/\/doi.org\/10.1007\/s11695-024-07349-4.","journal-title":"Obes Surg"},{"issue":"12","key":"8920_CR7","doi-asserted-by":"publisher","first-page":"1707","DOI":"10.1007\/s11695-010-0191-2","volume":"20","author":"CK Huang","year":"2010","unstructured":"Huang CK, Lo CH, Shabbir A, Tai CM. Novel technique for liver retraction in laparoscopic bariatric surgery. Obes Surg. 2010;20(12):1707\u201310. https:\/\/doi.org\/10.1007\/s11695-010-0191-2.","journal-title":"Obes Surg"},{"issue":"2","key":"8920_CR8","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1007\/s00464-015-4272-0","volume":"30","author":"P Gan","year":"2016","unstructured":"Gan P, Bingham J. A clinical study of the LiVac laparoscopic liver retractor system. Surg Endosc. 2016;30(2):789\u201396. https:\/\/doi.org\/10.1007\/s00464-015-4272-0.","journal-title":"Surg Endosc"},{"issue":"4","key":"8920_CR9","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1016\/j.amjsurg.2015.05.004","volume":"210","author":"R De la Torre","year":"2015","unstructured":"De la Torre R, Sappington M, Smith T, Heiden K, Batayyah E, Broderick RC, et al. Safe and effective use of a hands-free intracorporeal retractor for suture-based liver retraction during minimally invasive bariatric procedures: results of a large case series. Am J Surg. 2015;210(4):615\u201321. https:\/\/doi.org\/10.1016\/j.amjsurg.2015.05.004.","journal-title":"Am J Surg"},{"issue":"8","key":"8920_CR10","doi-asserted-by":"publisher","first-page":"1626","DOI":"10.1016\/j.soard.2016.08.014","volume":"12","author":"A Ahmad","year":"2016","unstructured":"Ahmad A, Arellano JJ, Agarwala A, Ahmad Z. A percutaneous technique of liver retraction in laparoscopic bariatric & upper abdominal surgery. Surg Obes Relat Dis. 2016;12(8):1626\u20139. https:\/\/doi.org\/10.1016\/j.soard.2016.08.014.","journal-title":"Surg Obes Relat Dis"},{"issue":"4","key":"8920_CR11","doi-asserted-by":"publisher","first-page":"e1631","DOI":"10.1590\/0102-672020220002e1631","volume":"34","author":"RFAL Babadopulos","year":"2022","unstructured":"Babadopulos RFAL, Moura-Jr LG, Fechine V, Rocha MBS, Antunes N, Costa TA, et al. Technique of exposure of the esophagogastric junction obtained by the flexible liver retractor in bariatric surgery: a randomized controlled trial. Arq Bras Cir Dig. 2022;34(4):e1631. https:\/\/doi.org\/10.1590\/0102-672020220002e1631.","journal-title":"Arq Bras Cir Dig"},{"issue":"9","key":"8920_CR12","doi-asserted-by":"publisher","first-page":"3071","DOI":"10.1007\/s11695-019-04049-2","volume":"29","author":"A Sweeny","year":"2019","unstructured":"Sweeny A, Buglino L III, La Vella E, Yarbrough D. Comparison of a novel, trocar-free internal liver retractor to standard liver retraction in bariatric surgery. Obes Surg. 2019;29(9):3071\u20135. https:\/\/doi.org\/10.1007\/s11695-019-04049-2.","journal-title":"Obes Surg"},{"issue":"2","key":"8920_CR13","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1089\/lap.2020.0388","volume":"31","author":"LK Welsh","year":"2021","unstructured":"Welsh LK, Davalos G, Diaz R, Narvaez A, Perez JE, Castro M, et al. Magnetic liver retraction decreases postoperative pain and length of stay in bariatric surgery compared to Nathanson device. J Laparoendosc Adv Surg Tech A. 2021;31(2):194\u2013202. https:\/\/doi.org\/10.1089\/lap.2020.0388.","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"11","key":"8920_CR14","doi-asserted-by":"publisher","first-page":"4963","DOI":"10.1007\/s11695-021-05680-8","volume":"31","author":"MM Fersa\u011flu","year":"2021","unstructured":"Fersa\u011flu MM, Ergin A, \u00c7iyiltepe H, Fersahoglu AT, Bulut NE, Bilgili AC, et al. Comparison of the Pretzelflex retractor and Nathanson retractor in laparoscopic sleeve gastrectomy surgery. Obes Surg. 2021;31(11):4963\u20139. https:\/\/doi.org\/10.1007\/s11695-021-05680-8.","journal-title":"Obes Surg"},{"key":"8920_CR15","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1007\/s11695-024-07663-x","volume":"35","author":"SC Ertekin","year":"2025","unstructured":"Ertekin SC, Onsal U, Turgut E, et al. A comparative analysis of the liver retraction with long surgical gauze in three-port sleeve gastrectomy and the four-port Nathanson retractor technique. Obes Surg. 2025;35:561\u201370. https:\/\/doi.org\/10.1007\/s11695-024-07663-x.","journal-title":"Obes Surg"},{"issue":"2","key":"8920_CR16","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.21873\/invivo.12373","volume":"35","author":"A Sano","year":"2021","unstructured":"Sano A, Saito K, Kuriyama K, Nakazawa N, Ubukata Y, Hara K, et al. Risk factors for postoperative liver enzyme elevation after laparoscopic gastrectomy for gastric cancer. Vivo. 2021;35(2):1227\u201334. https:\/\/doi.org\/10.21873\/invivo.12373.","journal-title":"Vivo"},{"issue":"10","key":"8920_CR17","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.1007\/s00595-024-02834-w","volume":"54","author":"W Soneda","year":"2024","unstructured":"Soneda W, Booka E, Haneda R, Kawata S, Murakami T, Matsumoto T, et al. A silicone disc for liver retraction in laparoscopic gastrectomy reduces the postoperative increase in the liver enzyme level. Surg Today. 2024;54(10):1227\u201337. https:\/\/doi.org\/10.1007\/s00595-024-02834-w.","journal-title":"Surg Today"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08920-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-026-08920-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08920-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:19:22Z","timestamp":1791382762000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11695-026-08920-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":17,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["8920"],"URL":"https:\/\/doi.org\/10.1007\/s11695-026-08920-x","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]},"assertion":[{"value":"12 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 July 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 August 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 September 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was approved by the Institutional Review Board at [blinded institution]. Given the retrospective observational design using de-identified data, a waiver of informed consent was granted in accordance with institutional guidelines and applicable regulations. All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}