抄録
Background: The effect of closure of mesenteric defects to prevent complications, such as internal hernia, during laparoscopic colectomy remains controversial and is a subject of debate. Purpose: This retrospective single-institution study aimed to clarify the clinical significance of mesenteric defect closure during a laparoscopic colectomy. Methods: We evaluated 58 patients who underwent laparoscopic right-side colectomy or transverse colectomy. The statistical relevance of complications, surgical maneuvers, and clinical factors was examined. Results: The mesenteric defects were closed in 30 patients and not closed in 28 patients. Two patients with ileus and 1 with a deep incisional surgical site infection required a second surgery. The reoperation rate was significantly higher in the nonclosure group than in the closure group (11% vs. 0%, respectively; P=0.033). Consideration: Serious complications requiring reoperation occurred only in the nonclosure group. The procedure for closing the defect did not extend the operation time or increase the bleeding.
| 元の言語 | 英語 |
|---|---|
| ページ（範囲） | 82-85 |
| ページ数 | 4 |
| ジャーナル | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
| 巻 | 26 |
| 発行部数 | 1 |
| DOI | |
| 出版物ステータス | 出版済み - 1 1 2016 |
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All Science Journal Classification (ASJC) codes
- Surgery
これを引用
Clinical significance of closure of mesenteric defects in laparoscopic colectomy : A single-institutional cohort study. / Sugiyama, Masahiko; Sakaguchi, Yoshihisa; Oki, Eiji; Kusumoto, Eiji; Ota, Mitsuhiko; Kimura, Yasue; Tsutsumi, Norifumi; Kusumoto, Tetsuya; Ikejiri, Koji; Maehara, Yoshihiko.
：: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, 巻 26, 番号 1, 01.01.2016, p. 82-85.研究成果: ジャーナルへの寄稿 › 記事
}
TY - JOUR
T1 - Clinical significance of closure of mesenteric defects in laparoscopic colectomy
T2 - A single-institutional cohort study
AU - Sugiyama, Masahiko
AU - Sakaguchi, Yoshihisa
AU - Oki, Eiji
AU - Kusumoto, Eiji
AU - Ota, Mitsuhiko
AU - Kimura, Yasue
AU - Tsutsumi, Norifumi
AU - Kusumoto, Tetsuya
AU - Ikejiri, Koji
AU - Maehara, Yoshihiko
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Background: The effect of closure of mesenteric defects to prevent complications, such as internal hernia, during laparoscopic colectomy remains controversial and is a subject of debate. Purpose: This retrospective single-institution study aimed to clarify the clinical significance of mesenteric defect closure during a laparoscopic colectomy. Methods: We evaluated 58 patients who underwent laparoscopic right-side colectomy or transverse colectomy. The statistical relevance of complications, surgical maneuvers, and clinical factors was examined. Results: The mesenteric defects were closed in 30 patients and not closed in 28 patients. Two patients with ileus and 1 with a deep incisional surgical site infection required a second surgery. The reoperation rate was significantly higher in the nonclosure group than in the closure group (11% vs. 0%, respectively; P=0.033). Consideration: Serious complications requiring reoperation occurred only in the nonclosure group. The procedure for closing the defect did not extend the operation time or increase the bleeding.
AB - Background: The effect of closure of mesenteric defects to prevent complications, such as internal hernia, during laparoscopic colectomy remains controversial and is a subject of debate. Purpose: This retrospective single-institution study aimed to clarify the clinical significance of mesenteric defect closure during a laparoscopic colectomy. Methods: We evaluated 58 patients who underwent laparoscopic right-side colectomy or transverse colectomy. The statistical relevance of complications, surgical maneuvers, and clinical factors was examined. Results: The mesenteric defects were closed in 30 patients and not closed in 28 patients. Two patients with ileus and 1 with a deep incisional surgical site infection required a second surgery. The reoperation rate was significantly higher in the nonclosure group than in the closure group (11% vs. 0%, respectively; P=0.033). Consideration: Serious complications requiring reoperation occurred only in the nonclosure group. The procedure for closing the defect did not extend the operation time or increase the bleeding.
UR - http://www.scopus.com/inward/record.url?scp=84958063563&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84958063563&partnerID=8YFLogxK
U2 - 10.1097/SLE.0000000000000234
DO - 10.1097/SLE.0000000000000234
M3 - Article
C2 - 26679686
AN - SCOPUS:84958063563
VL - 26
SP - 82
EP - 85
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
SN - 1530-4515
IS - 1
ER -