Fixation of the greater omentum for prevention of delayed gastric emptying after left hepatectomy with lymphadenectomy for cholangiocarcinoma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-07-30

AUTHORS

Hiroshi Yoshida, Yasuhiro Mamada, Nobuhiko Taniai, Yoshiaki Mizuguchi, Tetsuya Shimizu, Daisuke Kakinuma, Yoshinori Ishikawa, Tomoharu Kanda, Satoshi Matsumoto, Shigeki Yokomuro, Koho Akimaru, Takashi Tajiri

ABSTRACT

BACKGROUND/PURPOSE: Delayed gastric emptying (DGE) sometimes occurs after left hepatectomy with lymphadenectomy. We performed fixation of the greater omentum to the peritoneum to prevent DGE and other complications in patients undergoing left hepatectomy with lymphadenectomy for cholangiocarcinoma. METHODS: Patients undergoing left hepatectomy with lymphadenectomy for cholangiocarcinoma were divided into a fixation group (n = 9) and a nonfixation group (n = 10). In the fixation group, the greater omentum was sutured to the peritoneum 3 cm from the greater curvature of the stomach to prevent contact between the stomach and the cut surface of the liver. RESULTS: Mean age, sex, disease, and hepatectomy procedures were similar in the two groups. DGE developed in six patients in the nonfixation group (60.0%) versus no patients in the fixation group (P = 0.011). The total number of complications was higher in the nonfixation group (16 complications) than in the fixation group (3 complications; P = 0.003). Overall morbidity was higher in the nonfixation group (60.0%) than in the fixation group (22.2%). Postoperative hospitalization was longer in the nonfixation group (67.4 days) than in the fixation group (20.2 days; P = 0.0041). CONCLUSIONS: Fixation of the greater omentum to the peritoneum decreases the occurrence of DGE and other complications after left hepatectomy with lymphadenectomy for cholangiocarcinoma. More... »

PAGES

392-396

References to SciGraph publications

  • 2004-10-01. Hilar cholangiocarcinoma: resectability and radicality after routine diagnostic imaging in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 2000-06-01. Assessment of gastric emptying using a low fat meal: establishment of international control values in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2004-12-01. Cholangiocarcinoma in association with Thorotrast exposure in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 1999-09-01. Early and late complications of pylorus‐preserving pancreatoduodenectomy in Japan 1998* in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 2005-12-01. Serosal invasion in TNM staging of mass‐forming intrahepatic cholangiocarcinoma in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 2005-12-01. Hepatolithiasis and intrahepatic cholangiocarcinoma: carcinogenesis based on molecular mechanisms in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00534-006-1201-6

    DOI

    http://dx.doi.org/10.1007/s00534-006-1201-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1027942122

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17653639


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    27 schema:description BACKGROUND/PURPOSE: Delayed gastric emptying (DGE) sometimes occurs after left hepatectomy with lymphadenectomy. We performed fixation of the greater omentum to the peritoneum to prevent DGE and other complications in patients undergoing left hepatectomy with lymphadenectomy for cholangiocarcinoma. METHODS: Patients undergoing left hepatectomy with lymphadenectomy for cholangiocarcinoma were divided into a fixation group (n = 9) and a nonfixation group (n = 10). In the fixation group, the greater omentum was sutured to the peritoneum 3 cm from the greater curvature of the stomach to prevent contact between the stomach and the cut surface of the liver. RESULTS: Mean age, sex, disease, and hepatectomy procedures were similar in the two groups. DGE developed in six patients in the nonfixation group (60.0%) versus no patients in the fixation group (P = 0.011). The total number of complications was higher in the nonfixation group (16 complications) than in the fixation group (3 complications; P = 0.003). Overall morbidity was higher in the nonfixation group (60.0%) than in the fixation group (22.2%). Postoperative hospitalization was longer in the nonfixation group (67.4 days) than in the fixation group (20.2 days; P = 0.0041). CONCLUSIONS: Fixation of the greater omentum to the peritoneum decreases the occurrence of DGE and other complications after left hepatectomy with lymphadenectomy for cholangiocarcinoma.
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