Langenbeck's archives of surgery · 2008
Fixation of the round ligament to the peritoneum and wrapping of the cut surface of the liver for prevention of early delayed gastric emptying after hepatic lateral segmentectomy.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Oida Takatsugu, Mimatsu Kenji, Kawasaki Atsushi, Kanou Hisao, Kuboi Youichi, Amano Sadao
Аннотация
PURPOSE: Left-sided hepatectomy occasionally leads to early delayed gastric emptying (EDGE). We developed a new fixation procedure of the round ligament to the peritoneum to prevent EDGE after hepatic lateral segmentectomy and evaluated its efficacy.
METHODS: We retrospectively studied 42 patients who underwent hepatic lateral segmentectomy. They were divided into two groups: a fixation group (N = 15) and a nonfixation group (N = 27). The round ligament of the liver was divided at the umbilicus and detached from the abdominal wall from the umbilicus to the liver. The cut surface of the liver was wrapped by the round ligament, and the distal part of the round ligament was then fixated to the peritoneum.
RESULTS: EDGE was found to be 0% in the fixation group versus 15% in the nonfixation group.
CONCLUSIONS: Fixation of the round ligament to the peritoneum is a useful technique to prevent EDGE after hepatic lateral segmentectomy.
METHODS: We retrospectively studied 42 patients who underwent hepatic lateral segmentectomy. They were divided into two groups: a fixation group (N = 15) and a nonfixation group (N = 27). The round ligament of the liver was divided at the umbilicus and detached from the abdominal wall from the umbilicus to the liver. The cut surface of the liver was wrapped by the round ligament, and the distal part of the round ligament was then fixated to the peritoneum.
RESULTS: EDGE was found to be 0% in the fixation group versus 15% in the nonfixation group.
CONCLUSIONS: Fixation of the round ligament to the peritoneum is a useful technique to prevent EDGE after hepatic lateral segmentectomy.