{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T04:46:16Z","timestamp":1789447576858,"version":"build-2803163510"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"DOI":"10.1186\/s12893-025-03341-6","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T15:36:51Z","timestamp":1764171411000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Crural stitch technique for liver retraction in laparoscopic upper gastrointestinal surgery: a retrospective case series"],"prefix":"10.1186","volume":"25","author":[{"given":"Oussama","family":"Shibly","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maher","family":"Salloum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georges","family":"Sakhat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Attieh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rawan","family":"Abdallah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Al Jamal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Allouch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"issue":"2","key":"3341_CR1","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1177\/1553350619894415","volume":"27","author":"C Bures","year":"2020","unstructured":"Bures C, Seika P, Fiorelli RAK, Kr\u00f6ll D, Zorron R. Novel trocar-free elastic liver retractor in bariatric surgery patients: comparison of a standard laparoscopic retraction with the first series using the LiVac sling system. Surg Innov. 2020;27(2):187\u201392.","journal-title":"Surg Innov"},{"issue":"8","key":"3341_CR2","doi-asserted-by":"publisher","first-page":"2733","DOI":"10.1007\/s00464-011-1614-4","volume":"25","author":"K Shibao","year":"2011","unstructured":"Shibao K, Higure A, Yamaguchi K. Disk suspension method: a novel and safe technique for the retraction of the liver during laparoscopic surgery (with video). Surg Endosc. 2011;25(8):2733\u20137.","journal-title":"Surg Endosc"},{"issue":"12","key":"3341_CR3","doi-asserted-by":"publisher","first-page":"3939","DOI":"10.1007\/s00464-011-1788-9","volume":"25","author":"Y Woo","year":"2011","unstructured":"Woo Y, Hyung WJ, Kim HI, Obama K, Son T, Noh SH. Minimizing hepatic trauma with a novel liver retraction method: a simple liver suspension using gauze suture. Surg Endosc. 2011;25(12):3939\u201345.","journal-title":"Surg Endosc"},{"issue":"11","key":"3341_CR4","doi-asserted-by":"publisher","first-page":"2532","DOI":"10.1007\/s00464-008-9801-7","volume":"22","author":"Y Sakaguchi","year":"2008","unstructured":"Sakaguchi Y, Ikeda O, Toh Y, Aoki Y, Harimoto N, Taomoto J, et al. New technique for the retraction of the liver in laparoscopic gastrectomy. Surg Endosc. 2008;22(11):2532\u20134.","journal-title":"Surg Endosc"},{"issue":"2","key":"3341_CR5","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1007\/s00464-012-2438-6","volume":"27","author":"R Goel","year":"2013","unstructured":"Goel R, Shabbir A, Tai CM, Eng A, Lin HY, Lee SL, et al. Randomized controlled trial comparing three methods of liver retraction in laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2013;27(2):679\u201384.","journal-title":"Surg Endosc"},{"issue":"3","key":"3341_CR6","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1007\/s11695-013-1174-x","volume":"24","author":"H Shimizu","year":"2014","unstructured":"Shimizu H, Batayyah E, Rogula T. Clinical experience with a port-free internal liver retractor in laparoscopic bariatric surgery. Obes Surg. 2014;24(3):478\u201382.","journal-title":"Obes Surg"},{"issue":"12","key":"3341_CR7","doi-asserted-by":"publisher","first-page":"2650","DOI":"10.1007\/s00268-008-9744-0","volume":"32","author":"G Morris-Stiff","year":"2008","unstructured":"Morris-Stiff G, Jones R, Mitchell S, Barton K, Hassn A. Retraction transaminitis: an inevitable but benign complication of laparoscopic fundoplication. World J Surg. 2008;32(12):2650\u20134.","journal-title":"World J Surg"},{"issue":"1","key":"3341_CR8","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/S0002-9610(03)00106-5","volume":"186","author":"NT Nguyen","year":"2003","unstructured":"Nguyen NT, Braley S, Fleming NW, Lambourne L, Rivers R, Wolfe BM. Comparison of postoperative hepatic function after laparoscopic versus open gastric bypass. Am J Surg. 2003;186(1):40\u20134.","journal-title":"Am J Surg"},{"issue":"7","key":"3341_CR9","doi-asserted-by":"publisher","first-page":"968","DOI":"10.1007\/s004649900758","volume":"12","author":"M Morino","year":"1998","unstructured":"Morino M, Giraudo G, Festa V. Alterations in hepatic function during laparoscopic surgery: an experimental clinical study. Surg Endosc. 1998;12(7):968\u201372.","journal-title":"Surg Endosc"},{"issue":"12","key":"3341_CR10","doi-asserted-by":"publisher","first-page":"2730","DOI":"10.1007\/s00268-011-1301-6","volume":"35","author":"Y Kinjo","year":"2011","unstructured":"Kinjo Y, Okabe H, Obama K, Tsunoda S, Tanaka E, Sakai Y. Elevation of liver function tests after laparoscopic gastrectomy using a Nathanson liver retractor. World J Surg. 2011;35(12):2730\u20138.","journal-title":"World J Surg"},{"issue":"6","key":"3341_CR11","doi-asserted-by":"publisher","first-page":"1377","DOI":"10.1016\/j.soard.2015.01.021","volume":"11","author":"RDL Torre","year":"2015","unstructured":"Torre RDL, Scott JS, Cole E. A suture-based liver retraction method for laparoscopic bariatric procedures: results from a large case series. Surg Obes Relat Dis. 2015;11(6):1377\u201382.","journal-title":"Surg Obes Relat Dis"},{"issue":"2","key":"3341_CR12","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, Akyol H, Unver M, Demirpolat MT, 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(2):561\u201370.","journal-title":"Obes Surg"},{"issue":"2","key":"3341_CR13","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1089\/lap.2014.0439","volume":"25","author":"DG Kim","year":"2015","unstructured":"Kim DG, Kim HI, Guner A, Cho I, Kwon IG, Choi YY, et al. Liver retraction by double-sling suture for laparoscopic gastrectomy. J Laparoendosc Adv Surg Tech A. 2015;25(2):112\u20136.","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"1","key":"3341_CR14","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.","journal-title":"JSLS"},{"issue":"3","key":"3341_CR15","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1097\/00129689-200006000-00016","volume":"10","author":"J Pasenau","year":"2000","unstructured":"Pasenau J, Mamazza J, Schlachta CM, Seshadri PA, Poulin EC. Liver hematoma after laparoscopic Nissen fundoplication: a case report and review of retraction injuries. Surg Laparosc Endosc Percutan Tech. 2000;10(3):178\u201381.","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"issue":"6","key":"3341_CR16","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.","journal-title":"Clin Radiol"},{"key":"3341_CR17","doi-asserted-by":"crossref","unstructured":"Daley A, Griffiths EA. Advancements in liver retraction techniques for laparoscopic gastrectomy. World J Gastrointest Surg. 2025;17(1). Available from:\u00a0https:\/\/www.wjgnet.com\/1948-9366\/full\/v17\/i1\/101055.htm. Cited 7 Aug 2025.","DOI":"10.4240\/wjgs.v17.i1.101055"},{"issue":"3","key":"3341_CR18","doi-asserted-by":"publisher","first-page":"198","DOI":"10.4103\/0972-9941.140202","volume":"11","author":"P Palanivelu","year":"2015","unstructured":"Palanivelu P, Patil KP, Parthasarathi R, Viswambharan JK, Senthilnathan P, Palanivelu C. Review of various liver retraction techniques in single incision laparoscopic surgery for the exposure of hiatus. Journal of Minimal Access Surgery. 2015;11(3):198\u2013202.","journal-title":"Journal of Minimal Access Surgery"},{"issue":"1","key":"3341_CR19","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1089\/lap.2013.0485","volume":"24","author":"RCT Surjan","year":"2014","unstructured":"Surjan RCT, Makdissi FF, Machado MAC. A new technique for liver retraction during single-port laparoscopic surgery. J Laparoendosc Adv Surg Tech A. 2014;24(1):35\u20137.","journal-title":"J Laparoendosc Adv Surg Tech A"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03341-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-025-03341-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03341-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T15:36:52Z","timestamp":1764171412000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-025-03341-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,26]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3341"],"URL":"https:\/\/doi.org\/10.1186\/s12893-025-03341-6","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,26]]},"assertion":[{"value":"4 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"\u201cIn accordance to the declaration of Helsinki our research was conducted.\u201d","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethics committee at NINI hospital approved this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"A written signed informed consent was obtained from the participants in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"575"}}