Omentoplasty in rectal cancer surgery prolongs post-operative ileus

摘要: Omentoplasty is frequently used as a safeguard in rectal cancer surgery for wrapping the anastomosis or filling up pelvic cavity. The omentum known its infection defence and haemostatic angiogenic properties. A disadvantage was hypothesized to be prolonged post-operative ileus, omentoplasty interrupts blood flow from an epiploic artery stomach. Patients who had uncomplicated surgical treatment primary between January 2006 March 2007 were included. Clinical parameters of ileus collected compared procedures with concomitant (n = 31) without (n = 20). needed their gastric tube significantly longer after than those (3.9 vs 1.6 days, p < 0.001). Similar significant results found time normal diet (p = 0.004), first discharge faeces (p = 0.007), need parenteral feeding (p = 0.036) length hospital stay (p = 0.008). Furthermore, there non-significant trend more days air (3.4 2.4 days, p = 0.165). There no differences patients’ procedure characteristics, except low anterior resections group (p < 0.001). None these characteristics any clinically relevant interference ileus. patients underwent cancer. When assessing importance future, should taken into account.