Safety and feasibility of laparoscopic surgery in the treatment of abdominal cocoon syndrome

doi:10.3877/cma.j.issn.1674-6899.2020.01.008

Abstract

Abstract:

Objective

To analyze the safety and feasibility of laparoscopic surgery in the treatment of abdominal cocoon syndrome.

Methods

A retrospective analysis was performed on the clinical data of 13 patients with abdominal cocoon syndrome who underwent surgery at the department of general surgery in Shanghai Ninth People′s Hospital, Shanghai Jiaotong University School of Medicine from Jan. 2016 to Nov. 2019.

Results

13 patients successfully underwent the surgical treatment. 8 patients underwent laparoscopic surgery, and the other 5 patients were performed with conventional laparotomy. All the patients presented with clinical features of intestinal obstruction, and underwent membrane excision and enterodialysis to release the small intestine. Because of abdominal surgery history, 5 cases were finally approached by laparotomy. Laparoscopic surgery showed less blood loss [(116.3 ± 14.0 ) ml vs (180.6 ± 24.9) ml, P< 0.05] and shorter operative time [(99.3 ± 8.7) min vs (130.6 ± 7.5) ml, P< 0.05] compared with laparotomy. There were 4 cases and 3 cases with postoperative complications (P> 0.05), 3 cases and 2 cases with prolonged ileus (P> 0.05) in the laparoscopic group and the laparotomy group, respectively. The postoperative hospital stay was (11.4 ± 3.5) d and (13.4 ± 5.2) d (P> 0.05) of the laparoscopic and laparotomy group, respectively. The postoperative pathology of 13 patients showed fibrous envelope.

Conclusions

Laparoscopic surgery is a feasible and effective management in the treatment of abdominal cocoon syndrome without abdominal surgery history.

Key words: Abdominal cocoon syndrome, Laparoscopic surgery, Laparotomy, Intestinal obstruction, Complications

Yantao Duan, Yuhua Huang, Bin Liu, Danhua Yao, Lei Zheng, Zhiyuan Zhou, Pengfei Wang, yousheng Li. Safety and feasibility of laparoscopic surgery in the treatment of abdominal cocoon syndrome[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(01): 31-35.

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Figures/Tables 6

References 18

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组别	例数	性别(例，男/女)	年龄(岁， ±s)	体质量指数(kg/m²， ±s)
腹腔镜手术组	8	6/2	42.6 ± 4.6	18.7 ± 0.6
传统剖腹探查术组	5	3/2	44.2 ± 7.0	19.0 ± 0.7
P值	?	> 0.05	> 0.05	> 0.05

组别	例数	性别(例，男/女)	年龄(岁， ±s)	体质量指数(kg/m²， ±s)
腹腔镜手术组	8	6/2	42.6 ± 4.6	18.7 ± 0.6
传统剖腹探查术组	5	3/2	44.2 ± 7.0	19.0 ± 0.7
P值	?	> 0.05	> 0.05	> 0.05

组别	例数	术中出血量(ml)	手术时间(min)
腹腔镜手术组	8	116.3 ± 14.0	99.3 ± 8.7
传统剖腹探查术组	5	180.6 ± 24.9	130.6 ± 7.5
P值	?	< 0.05	< 0.05

组别	例数	术中出血量(ml)	手术时间(min)
腹腔镜手术组	8	116.3 ± 14.0	99.3 ± 8.7
传统剖腹探查术组	5	180.6 ± 24.9	130.6 ± 7.5
P值	?	< 0.05	< 0.05

组别	例数	并发症(例，有/无)	术后肠梗阻(例，有/无)	住院时间(d， ±s)
腹腔镜手术组	8	4/4	3/5	11.4 ± 3.5
传统剖腹探查术组	5	3/2	2/3	13.4 ± 5.2
P值	?	> 0.05	> 0.05	> 0.05

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