Departnent of Gastroenterological Surgery, Kitami Red Cross Hospital, Kitami, Hokkaido.
Department of Gastroenterological Surgery II, Hokkaido, Faculty of Medicine, University, Kita-ku, Sapporo, Japan.
Surg Laparosc Endosc Percutan Tech. 2021 Jun 23;31(6):703-706. doi: 10.1097/SLE.0000000000000967.
This study aimed to clarify the clinical significance of closing the mesenteric defect in laparoscopic colectomy.
We retrospectively evaluated 369 patients who underwent left-sided or right-sided resection via laparoscopic colectomy at our institute. Patients were stratified by open versus closed handling of the mesenteric defect. The perioperative clinical factors, surgical maneuvers, and postoperative complications were statistically analyzed.
No significant intergroup differences were found in the perioperative clinical factors or surgical maneuvers except for number of days to the first soft diet (P=0.0214) and postoperative complications (P=0.0379). Among the postoperative complications, only ileus occurred more frequently in the closed group than in the open group (P=0.0227).
This study revealed that closure of the mesenteric defect following laparoscopic colectomy might be associated with an increased incidence of postoperative ileus.
本研究旨在阐明腹腔镜结肠切除术时关闭肠系膜缺损的临床意义。
我们回顾性评估了在我院接受腹腔镜左半结肠切除术或右半结肠切除术的 369 例患者。根据肠系膜缺损的开放与闭合处理方式对患者进行分层。对围手术期临床因素、手术操作和术后并发症进行统计学分析。
除首次软食时间（P=0.0214）和术后并发症（P=0.0379）外，两组围手术期临床因素和手术操作均无显著差异。在术后并发症中，仅闭合法组术后出现肠梗阻的频率高于开腹组（P=0.0227）。
本研究表明，腹腔镜结肠切除术后关闭肠系膜缺损可能与术后肠梗阻的发生率增加有关。
