External intestinal plication for the management of abdominal cocoon: a series report of 5 cases

doi:10.3877/cma.j.issn.1674-3946.2020.04.017

Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (04): 378-380. doi: 10.3877/cma.j.issn.1674-3946.2020.04.017

Special Issue: ；；；

• Original Article • Previous Articles Next Articles

External intestinal plication for the management of abdominal cocoon: a series report of 5 cases

Song Liu¹, Meng Wang¹, Xiaofeng Lu¹, Wenxian Guan¹^,^†()

^1. Department of Gastrointestinal Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Jiangsu 210008, China

Received:2020-01-19 Online:2020-08-26 Published:2020-08-26
Contact: Wenxian Guan
About author:
Corresponding author: Guan Wenxian, Email: guanwx-nju@hotmail.com
Supported by:
National Natural Science Foundation of China(81602103); Distinguished Young Scholar Project of Medical Science and Technology Development Foundation of Nanjing Department of Health(JQX17005); Medical Research Program of Jiangsu Provincial Commission of Health(Q2017007); Wu Jieping Medical Foundation(320.2710.1817)

Abstract

Abstract:

Objective

To investigate the clinical outcome of external intestinal plication (Noble) for the surgical management of abdominal cocoon.

Method

We retrospectively analyzed the clinical data of 5 patients with abdominal cocoon who received intestinal plication surgery from 2013. We summarized the clinical characteristics, surgical management and clinical outcome of these patients.

Result

Among 5 patients, including 3 males and 2 females with an average age of 59.8 years, 3 patients had previous abdominal surgical history. The average operation time of external intestinal plication was 367 minutes, with average intraoperative blood loss of 760 ml. Three patients received partial resection of small bowel with an average length of 21.3cm. All patients restored liquid diet about 14.8 days after surgery, and were discharged 22 days after operation. None of them was readmitted due to recurrent bowel obstruction during follow-up period of 45.2 months.

Conclusion

External intestinal plication (Noble) is safe and effective for the treatment of abdominal cocoon.

Key words: Intestinal obstruction, Intestinal rearrangement, Abdominal cocoon

Song Liu, Meng Wang, Xiaofeng Lu, Wenxian Guan. External intestinal plication for the management of abdominal cocoon: a series report of 5 cases[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(04): 378-380.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhpwkssxzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3946.2020.04.017

https://zhpwkssxzz.cma-cmc.com.cn/EN/Y2020/V14/I04/378

Figures/Tables 3

References 7

[1]	Foo KT, Ng KC, Rauff A，et al.Unusual small intestinal abstraction in adolescent girls: the abdominal cocoon[J]．Br J Surg，1978，65(6): 427-430.
[2]	李毅，李宁，朱维铭，等．原发性腹茧症外科治疗67例临床分析[J]．中华外科杂志，2013，51(2): 139-141.
[3]	黄江龙，卫洪波，陈桂丽．腹茧症诊治体会[J/CD]．中华普通外科学文献(电子版)，2007，1(2): 106-108.
[4]	毛旭南，徐玉彬，张培建．腹茧症病因及诊治的研究进展[J/CD]．中华普通外科学文献(电子版)，2016，10(4): 311-314.
[5]	Aimanan K, Othman MY, Abdullah MY，et al.Intraluminal silastic tube for multiple segment of bowel anastomosis in midgut volvulus: an alternative approach to preserve bowel length[J]. Clin Surg，2019，4: 2316.
[6]	Singh H, Irrinki S, Yadav TD，et al.Surgical outcomes in patients with abdominal cocoon: series of 15 patients[J]. World J Surg，2019，43(9): 2143-2148.
[7]	Fursevich D, Burt J．Abdominal cocoon syndrome: a rare cause for recurrent abdominal pain[J]. J Gastrointest Surg，2017，21(7): 1194-1195.

病例	性别	年龄	腹部手术史	手术时长(min)	术中出血(ml)	术中输血(ml)	术中切除小肠(cm)	术后ICU天数	术后住院天数	术后开放饮食(d)	是否死亡
1	男	82	阑尾切除术	320	600	0	15	1	14	9	否
2	男	54	胆囊切除术	300	300	0	0	1	11	7	否
3	女	67	无	345	300	0	0	0	50	39	否
4	男	43	无	210	200	0	12	0	10	8	否
5	女	53	子宫肌瘤切除术	660	2400	1100	37	7	25	11	否

病例	性别	年龄	腹部手术史	手术时长(min)	术中出血(ml)	术中输血(ml)	术中切除小肠(cm)	术后ICU天数	术后住院天数	术后开放饮食(d)	是否死亡
1	男	82	阑尾切除术	320	600	0	15	1	14	9	否
2	男	54	胆囊切除术	300	300	0	0	1	11	7	否
3	女	67	无	345	300	0	0	0	50	39	否
4	男	43	无	210	200	0	12	0	10	8	否
5	女	53	子宫肌瘤切除术	660	2400	1100	37	7	25	11	否

[1]	Haijian Zhao, Xin Zhao, Ning Chen, Jian Wang, Lun Zhu, Xiaoyu Zhang, Heng Li. Expression of aquaporin 3 in different states of small intestine and its clinical significance [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(05): 342-345.
[2]	Huizhong Niu, Feng Liu, Pengju Zhang, Jianlei Geng, Hui Ren. Effect of transnasal indwelling jejunal nutrition tube in the treatment of high intestinal obstruction operation for the newborns [J]. Chinese Archives of General Surgery(Electronic Edition), 2021, 15(06): 437-441.
[3]	Pei Yang, Peng Liu, Shaolong Hao, Yong Liu, Wei Han. Analysis of 26 cases of acute coprolite small intestinal obstruction by laparoscopy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(03): 351-354.
[4]	Jinsheng Ye, Yiping Lu, Yankai Liang, Miao Yu, Zhen Ji, Zhijian He, Honghai Zhang, Jie Wang. Clinical application of laparoscopic biological mesh to repair pelvic floor defects after rectal surgery [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 688-691.
[5]	Jing Hu, Minjuan Fan, Guanhua Chi. Analysis of the occurrence and influencing factors of intra-abdominal herniated intestinal obstruction after TAPP operation [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(04): 401-405.
[6]	Xiaoyu Fan, Sizheng Sun, Yimin E, Chunzhao Yu. Different surgical options for obstructive left colon cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 500-504.
[7]	Lingling Wang, Haipeng Chen, Zheng Liu. The progress of occurrence, mechanism, diagnosis and treatment of peritoneal adhesions [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(02): 112-116.
[8]	Qianyang Ni, Yutong Xing, Suyang Yu. A case of complex "three-way" intestinal fistula: a case report and literature review [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2022, 11(06): 521-524.
[9]	Chengren Zhang, Yaochun Lv, Binbin Du, Lili Liu, Jiyong Lu, Shuai Wang, Xiongfei Yang. Comparative study between ghost ileostomy and defunctioning ileostomy in anterior resection for rectal cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2022, 11(05): 377-383.
[10]	Li Bao, Rui Du, Cangyuan Zhang, Ziyang Long, Biao Sun, Daorong Wang. A case of abdominal cocoon combined with Wernicke encephalopathy after operation [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(05): 550-552.
[11]	Shunli Yan, Huimin Sun, Zhaoxu Zheng, Zheng Liu, Haipeng Chen, Xu Guan, Meng Zhuang, Haiyang Huang, Xishan Wang, Wei Pei. Intestinal obstruction after total laparoscopic radical resection of right colon cancer: a case report and literature review [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(04): 427-431.
[12]	Tongtong Zhang, Suyang Yu, Jin Zhou, Shipeng Zhao. A case of abdominal cocoon associated with intestinal dysplasia and great omentum hypoplasia: a case report and literature review [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(04): 424-426.
[13]	Weigen Zeng, Jiagang Han, Guoyi Pang, Qi Zhao, Baocheng Zhao, Zhenjun Wang. Decompressing stoma versus stent placement as bridge to surgery for left-sided obstructive colon cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(04): 362-366.
[14]	Zhouping Li, Xiaoyan Xue, Qingjie Xu, Yangfan Du. One case of polycythemia vera with intestinal obstruction and antiphospholipid antibody syndrome [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2022, 08(02): 180-186.
[15]	Xiangzhen Cheng. Diagnosis and treatment of abdominal cocoon: Clinical analysis of nine cases with a literature review [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(9): 968-971.

Please choose a citation manager

Content to export

External intestinal plication for the management of abdominal cocoon: a series report of 5 cases

RichHTML

PDF (PC)

Knowledge

Cited

Abstract

Cite this article

share this article

Figures/Tables 3

References 7

Related Articles 15

Recommended Articles

Metrics

Comments

模态框（Modal）标题

Please choose a citation manager

Content to export

External intestinal plication for the management of abdominal cocoon: a series report of 5 cases

RichHTML

PDF (PC)

Knowledge

Cited

Abstract

Cite this article

share this article

Figures/Tables 3

References 7

Related Articles 15

Recommended Articles

Metrics

Comments