Prevention of delayed gastric emptying after living donor left hepatectomy

Asian Journal of Surgery

Masaaki Hidaka¹  Mitsuhisa Takatsuki²  Takashi Hamada³  Shinichiro Ito³  Tota Kugiyama³  Shinichiro Ono³  Susumu Eguchi³  Kengo Kanetaka³  Koji Natsuda³  Tomohiko Adachi³ 

[1] Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan;Corresponding author. Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.;Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan;

关键词: Liver transplantation;    Living donor;    Left hepatectomy;    Delayed gastric emptying;   

DOI  :  

来源: DOAJ

【 摘 要 】

Summary:Background: Delayed gastric emptying (DGE) is uncomfortable complication after left hepatectomy. The aim of this study is to show our strategy to prevent DGE after living donor left hepatectomy. Methods: The cases were divided into 3 groups as without any prevention (control group), prevented DGE with putting omentum between the liver and pylorus (O group), and with putting a Seprafilm (S group). The incidence of DGE and the CT finding 1 month after surgery were retrospectively compared between the groups. Results: The incidence of DGE was significantly decreased in O and S group than control group (P < 0.05, Fisher's test). In S group, fluid collection along the cutting surface of the liver was observed on CT significantly more than other groups, but the incidence of bile leakage was adversely less in S groups than other groups, meaning that collected fluid in S group were presumed as the ascites without bile. Conclusion: Omentum patching and Seprafilm were equally effective to prevent DGE after living donor left hepatectomy, and Seprafilm might be better because it is more physiologic.

【 授权许可】

Unknown