Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 43 (12), 1425-32

Omental Flap Wrapping With Fixation to the Cut Surface of the Liver for Reducing Delayed Gastric Emptying After Left-Sided Hepatectomy

Affiliations

Omental Flap Wrapping With Fixation to the Cut Surface of the Liver for Reducing Delayed Gastric Emptying After Left-Sided Hepatectomy

Keiichi Okano et al. Surg Today.

Abstract

Background: Delayed gastric emptying (DGE) is a common complication following left-sided hepatectomy. The goal of this study was to clarify the clinical implications of an omental flap wrapping procedure that includes fixation to the cut surface of the liver to reduce the incidence of DGE after left-sided hepatectomy.

Methods: The study included 50 consecutive patients who underwent left-sided hepatectomy between January 2000 and July 2011. Clinicopathologic risk factors for DGE after left-sided hepatectomy were identified using univariate and multivariate models. The incidence of DGE, digestive symptoms, and postoperative complications were compared between two groups: 25 patients treated with the omental flap wrapping and fixation procedure and 25 patients who did not receive such a flap.

Results: A univariate analysis revealed that a lack of the omental flap, the lymph node clearance, and use of left hemihepatectomy were associated with postoperative DGE. The multivariate analysis indicated that the lack of the omental flap was the only independent significant factor associated with the DGE (odds ratio, 21.23; p = 0.0002). There was a significant difference in the incidence of DGE between the patients with (4 %) and without an omental flap (36 %). The incidence of gastric distension and the use of prokinetic drugs were also significantly lower in patients with an omental flap than in patients without the flap, and patients with an omental flap resumed a solid diet significantly earlier.

Conclusions: This retrospective single-center study revealed that it was possible to reduce the incidence of DGE using a procedure involving omental flap wrapping with fixation to the cut surface of the liver after left-sided hepatectomy.

Similar articles

See all similar articles

Cited by 3 articles

References

    1. Surg Today. 2007;37(5):389-95 - PubMed
    1. Surg Today. 2005;35(7):535-42 - PubMed
    1. J Clin Nurs. 2008 Jun;17(11):1440-9 - PubMed
    1. J Cardiothorac Surg. 2009 Jul 24;4:38 - PubMed
    1. Lancet. 2003 Aug 30;362(9385):687-90 - PubMed

MeSH terms

LinkOut - more resources

Feedback