The Impact of a Pelvic Pillow on Learning How to Perform Laparoscopic Low Anterior Resection for Rectal Cancer

Hotta, Tsukasa; Takifuji, Katsunari; Yokoyama, Shozo; Matsuda, Kenji; Oku, Yoshimasa; Nasu, Toru; Tamura, Koichi; Ieda, Junji; Yamamoto, Naoyuki; Iwamoto, Hisao; Yamaue, Hiroki

doi:10.1097/sle.0b013e31828fa659

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…Hotta et al reported that the operation time and postoperative start of oral intake were shorter and earlier, respectively, and the pelvic surgical field was better by inserting the pelvic pillow for laparoscopic low anterior resection. 29 In the present study, we demonstrated another important finding that the insertion of a back pillow increased the PLA in all patients with GC and more than half of the patients with small PLA developed large PLA. Moreover, the CT image showed that the kyphosis of the thoracic vertebrae could be decreased by the insertion of the back pillow.…”

Section: Discussionsupporting

confidence: 63%

Pancreas‐left gastric artery angle is associated with postoperative inflammation and drain amylase after laparoscopic gastrectomy

Sugase

Takahashi

Takiguchi

et al. 2021

Asian J Endoscop Surgery

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Introduction:The pancreas often interferes with the surgical field during laparoscopic gastrectomy (LG) and its disorders cause severe postoperative complications. This study aimed to evaluate the association between the anatomical location of the pancreas and surgical outcome and to investigate the optimal surgical position in LG.Methods: We newly defined the angle formed between the supra-pancreatic region and the root of the left gastric artery (LGA) as the pancreas-LGA angle (PLA). The association between PLA and surgical outcomes in 107 consecutive patients who underwent laparoscopic distal gastrectomy (LDG) was investigated. Then, the change in PLA before and after insertion of the back pillow in 30 patients with gastric cancer was examined. Results: The median PLA was 62 (range, 2 -157 ). No differences were found in the patient background between patients with small PLA (PLA < 62 ; n = 53) and those with large PLA (PLA ≧ 62 ; n = 54). The postoperative inflammation response (white blood cells, neutrophils, and C-reactive protein) and amylase concentration in the drainage fluid (D-AMY) were significantly higher in the small PLA group than large PLA group. Multivariable analyses demonstrated that small PLA was an independent risk factor for high D-AMY. After insertion of a back pillow, PLA was noninvasively increased in all patients, and the median PLA was changed to 92 (range, 8 -151 ) from 61 (range, 2 -140 ). Of 17 patients with small PLA, nine developed large PLA.

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Section: Discussionsupporting

confidence: 63%

Pancreas‐left gastric artery angle is associated with postoperative inflammation and drain amylase after laparoscopic gastrectomy

Sugase

Takahashi

Takiguchi

et al. 2021

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

The Impact of a Pelvic Pillow on Learning How to Perform Laparoscopic Low Anterior Resection for Rectal Cancer

Abstract: Maintaining an excellent view of the pelvic surgical field with the pelvic pillow might have an impact on learning laparoscopic LAR.

Cited by 1 publication

References 22 publications

Pancreas‐left gastric artery angle is associated with postoperative inflammation and drain amylase after laparoscopic gastrectomy

Pancreas‐left gastric artery angle is associated with postoperative inflammation and drain amylase after laparoscopic gastrectomy

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