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

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

doi:10.1007/s00534-006-1201-6

Cited by 22 publications

(29 citation statements)

References 11 publications

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“…DGE has a variety of causes, including diabetes, renal failure, liver cirrhosis, connective tissue disorders, central nervous system disorders, and surgery. DGE is frequently observed after pylorus-preserving Table 2 Outcomes of 42 patients undergoing hepatic lateral segmentectomy with or without fixation procedure N-G naso-gastric tube, EDGE early delayed gastric emptying a Significant difference pancreaticoduodenectomy, and left-sided hepatectomy also occasionally leads to DGE [2,3]. Displacement of the stomach and the disruption of normal gastrointestinal movement at the points of adhesion between the stomach and the cut surface of the liver are the most probable causes of DGE after left-sided hepatectomy without lymphadectomy [3,4].…”

Section: Discussionmentioning

confidence: 99%

“…DGE is frequently observed after pylorus-preserving Table 2 Outcomes of 42 patients undergoing hepatic lateral segmentectomy with or without fixation procedure N-G naso-gastric tube, EDGE early delayed gastric emptying a Significant difference pancreaticoduodenectomy, and left-sided hepatectomy also occasionally leads to DGE [2,3]. Displacement of the stomach and the disruption of normal gastrointestinal movement at the points of adhesion between the stomach and the cut surface of the liver are the most probable causes of DGE after left-sided hepatectomy without lymphadectomy [3,4]. Umeshita et al [7] reported that two liver donors in whom DGE occurred because of adhesion between the stomach and the cut surface of the liver after left-sided hepatectomy required surgical division of the adhesions.…”

Section: Discussionmentioning

confidence: 99%

“…DGE has a variety of causes, including diabetes, renal failure, liver cirrhosis, connective tissue disorders, central nervous system disorders, and surgery. DGE is frequently observed after pylorus-preserving pancreaticoduodenectomy, and left-sided hepatectomy also occasionally leads to DGE [2,3]. To prevent DGE after left-sided hepatectomy, the fixation of the greater omentum to the peritoneum has been reported [3,4].…”

Section: Introductionmentioning

confidence: 99%

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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

Oida

Mimatsu

Kawasaki

et al. 2008

Langenbecks Arch Surg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…DGE has a variety of causes, including diabetes, renal failure, liver cirrhosis, connective tissue disorders, central nervous system disorders, and surgery. DGE is frequently observed after pylorus-preserving pancreaticoduodenectomy, and left-sided hepatectomy also occasionally leads to DGE [2,3]. To prevent DGE after left-sided hepatectomy, the fixation of the greater omentum to the peritoneum has been reported [3,4].…”

Section: Introductionmentioning

confidence: 99%

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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

Oida

Mimatsu

Kawasaki

et al. 2008

Langenbecks Arch Surg

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“…According to 2 RCTs, the use of omentum flap to cover the liver cut surface after left-sided hepatectomy reduced the incidence of DGE [101,102].…”

Section: Prevention Of Delayed Gastric Emptyingmentioning

confidence: 99%

Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

et al. 2016

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Background Enhanced Recovery After Surgery (ERAS) is a multimodal pathway developed to overcome the deleterious effect of perioperative stress after major surgery. In colorectal surgery, ERAS pathways reduced perioperative morbidity, hospital stay and costs. Similar concept should be applied for liver surgery. This study presents the specific ERAS Society recommendations for liver surgery based on the best available evidence and on expert consensus. Methods A systematic review was performed on ERAS for liver surgery by searching EMBASE and Medline. Five independent reviewers selected relevant articles. Quality of randomized trials was assessed according to the Jadad score and CONSORT statement. The level of evidence for each item was determined using the GRADE system. The Delphi method was used to validate the final recommendations. Results A total of 157 full texts were screened. Thirty-seven articles were included in the systematic review, and 16 of the 23 standard ERAS items were studied specifically for liver surgery. Consensus was reached among experts after 3 rounds. Prophylactic nasogastric intubation and prophylactic abdominal drainage should be omitted. The use of postoperative oral laxatives and minimally invasive surgery results in a quicker bowel recovery and shorter hospital stay. Goal-directed fluid therapy with maintenance of a low intraoperative central venous pressure induces faster recovery. Early oral intake and mobilization are recommended. There is no evidence to prefer epidural to other types of analgesia. Conclusions The current ERAS recommendations were elaborated based on the best available evidence and endorsed by the Delphi method. Nevertheless, prospective studies need to confirm the clinical use of the suggested protocol.

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“…Two external drainage catheters (19-Fr BLAKE Silicone Drain) were positioned at the cut surface of the liver and connected to the J-VAC Suction Reservoir. Fixation of the greater omentum was performed to avoid delayed gastric emptying [4] . After operation, major bile leakage occurred, but resolved gradually.…”

Section: Introductionmentioning

confidence: 99%

Placement of percutaneous transhepatic biliary stent using a silicone drain with channels

Yoshida¹,

Mamada²,

Taniai³

et al. 2009

WJG

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

Abstract: Fixation of the greater omentum to the peritoneum decreases the occurrence of DGE and other complications after left hepatectomy with lymphadenectomy for cholangiocarcinoma.

Cited by 22 publications

References 11 publications

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

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

Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

Placement of percutaneous transhepatic biliary stent using a silicone drain with channels

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