Clinical Significance of Closure of Mesenteric Defects in Laparoscopic Colectomy: A Single-Institutional Cohort Study. Issue 1 (February 2016)

• Record Type: Journal Article
• Authors: Sugiyama, Masahiko; Sakaguchi, Yoshihisa; Oki, Eiji; Kusumoto, Eiji; Ota, Mitsuhiko; Kimura, Yasue; Tsutsumi, Norifumi; Kusumoto, Tetsuya; Ikejiri, Koji; Maehara, Yoshihiko
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 26:Issue 1(2016)
• Publication Date: 2016-02
• Subjects: laparoscopic colectomy -- right-side and transverse colectomy -- mesenteric defect repair -- case report; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000000234
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : Background: The effect of closure of mesenteric defects to prevent complications, such as internal hernia, during laparoscopic colectomy remains controversial and is a subject of debate. Purpose: This retrospective single-institution study aimed to clarify the clinical significance of mesenteric defect closure during a laparoscopic colectomy. Methods: We evaluated 58 patients who underwent laparoscopic right-side colectomy or transverse colectomy. The statistical relevance of complications, surgical maneuvers, and clinical factors was examined. Results: The mesenteric defects were closed in 30 patients and not closed in 28 patients. Two patients with ileus and 1 with a deep incisional surgical site infection required a second surgery. The reoperation rate was significantly higher in the nonclosure group than in the closure group (11% vs. 0%, respectively; P =0.033). Consideration: Serious complications requiring reoperation occurred only in the nonclosure group. The procedure for closing the defect did not extend the operation time or increase the bleeding.