Abstract
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.
Published Version
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