To investigate the application value of the left lobe of the liver in vivo W-shaped suspended in laparoscopic hiatus hernia repair.

A retrospective analysis was performed on laparoscopic hiatal hernia repair data and surgical video of 13 patients from January to October 2021 in Beijing friendship hospital affiliated to the capital university of medical sciences, tong-zhou branch. The suspension time used, and presence of suspension related complications (such as liver torn and bleeding, liver capsular hematoma, postoperative liver dysfunction, bile leakage) were observed.

Laparoscopic hiatal hernia repair was successfully performed in 13 cases. Intraoperative hiatus suture and repair were strengthened with mesh fixation. Dor fundus folding was performed in 7 cases, Nissen fundus folding was performed in 1 case, Toupet fundus folding was performed in 3 cases, and simple hiatus repair was performed in 2 cases. All patients who underwent hiatal hernia-related surgery successfully completed the w-shaped suspension of the left lobe of the liver with a duration of (3.00±1.25) minutes, without special instruments or drugs during surgery. Through surgical video observation, it was found that 2 cases had bleeding at the parietal peritoneal puncture site, and there was no obvious bleeding after hemostasis by electric hook. No suspension complication was found in all patients.

It is a simple, safe and effective method to use the in vivo W-shaped left lobe of liver suspension in laparoscopic hiatal hernia repair.