Effect of preservation of the right gastro-epiploic artery on delayed gastric emptying after cytoreductive surgery and HIPEC: A randomized clinical trial

D. J. Evers*, R. M. Smeenk, P. D. Bottenberg, E. D. van Werkhoven, H. Boot, V. J. Verwaal

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Abstrakt

Background: Delayed gastric emptying (DGE) is a main complication with unknown origin after a cytoreductive surgery and hyperthermic intra-peritoneal chemotherapy (CRS-HIPEC). The aim of this study was to investigate if preservation of the right gastro-epiploic artery (GEA) during standard omentectomy would have a positive effect on gastric emptying after CRS-HIPEC.

Methods: Forty-two patients subjected to a CRS-HIPEC were randomized into two groups perioperatively before performing an omentectomy: in Group I (N = 21) omentectomy was performed with preservation of the GEA; in Group It (N = 21) omentectomy was performed with resection of the GEA. The primary endpoint was the number of days to full oral intake of solid food. Secondary endpoints were number of days to intended occlusion of gastrostomy catheter and total hospital admission time.

Results: No significant differences were discovered between both groups in any of the study endpoints after CRS-HIPEC. No significant differences were observed in patient or operation characteristics between the randomized groups.

Conclusions: No association was demonstrated between preservation of the gastro-epiploic artery during omentectomy and gastric emptying after CRS-HIPEC. The extensive intestinal manipulation or the heated intra-peritoneal chemotherapy during surgery are more plausible causes of this phenomenon. This clinical trial was registered in the Netherlands at the Central Committee on Research involving Human Subjects (CCMO) under registration number P06.0301L. (C) 2010 Elsevier Ltd. All rights reserved.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Surgical Oncology
Vol/bind37
Udgave nummer2
Sider (fra-til)162-167
Antal sider6
ISSN0748-7983
DOI
StatusUdgivet - feb. 2011
Udgivet eksterntJa
Begivenhed7th International Workshop on Peritoneal Surface Malignancy - Uppsala, Sverige
Varighed: 8. sep. 201010. sep. 2010

Konference

Konference7th International Workshop on Peritoneal Surface Malignancy
LandSverige
ByUppsala
Periode08/09/201010/09/2010

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