Pedicled omentum packing of the pelvic floor in the prevention of short-term postoperative complications after laparoscopic Miles precedure
10.3760/cma.j.cn113855-20220711-00453
- VernacularTitle:直肠癌腹腔镜Miles手术中应用带蒂大网膜重建盆底预防术后近期并发症的疗效
- Author:
Youcai WANG
1
;
Gangcheng WANG
;
Han ZHOU
;
Songtao WANG
;
Chendi WANG
;
Yingjun LIU
;
Cong WANG
;
Guoqiang ZHANG
Author Information
1. 郑州大学附属肿瘤医院普外科 河南省肿瘤医院，郑州 450008
- Keywords:
Rectal neoplasms;
Omentum;
Pelvic floor;
Postoperative complications
- From:
Chinese Journal of General Surgery
2023;38(2):86-89
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of pedicled omentum packing of pelvic floor after laparoscopic Miles precedure in the prevention of short-term postoperative complications.Methods:Seventy-two patients undergoing laparoscopic combined abdominal perineal resection for rectal cancer at He'nan Tumor Hospital from Jan 2014 to Aug 2021 were retrospectively reviewed. The observation group underwent pelvic floor reconstruction with pedicled omentum, while in control group the pelvic floor was leaving unconstructed.Results:There was no intestinal obstruction in the observation group. There were 5 cases of intestinal obstruction in the control group. Three were recovered by conservative treatment, 2 cases underwent laparotomy and 1 case underwent anastomosis between small intestine and small intestine. The incidence of intestinal obstruction between 2 groups was statistically different (0 vs. 14%, χ2=5.083, P=0.024 ). The operation time, hospital stay between the two groups were statistically different [(195±13) min vs. (159±9) min, t=10.047, P=0.000; (11.9±0.9) d vs. (14.9±2.1) d, t=-5.996, P=0.000 ). Between the two groups, there were no significant differences in the incidence of presacral infection , pulmonary infection, venous thrombosis and intraoperative blood loss (all P>0.05) . Conclusion:Pedicled greater omentum used in pelvic floor reconstruction after laparoscopic Miles procedure reduces the incidence of short-term postoperative complications, especially of intestinal obstruction.
