Diagnostic accuracy of preoperative adhesion mapping by ultrasonography for laparoscopic surgery in patients with past abdominal surgery with special reference to loose adhesion
Purpose Endoscopic surgery is widely accepted for both elective and emergent abdominal surgery. This study was performed to assess the accuracy of preoperative adhesion mapping by abdominal ultrasonography (US). Methods Intra‐abdominal intestinal adhesions on the abdominal wall in 50 patients with a...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2024-07, Vol.17 (3), p.e13332-n/a |
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| container_title | Asian journal of endoscopic surgery |
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| creator | Okabe, Hirohisa Masuda, Toshiro Tomita, Masahiro Ono, Asuka Kuroda, Daisuke Kuroki, Hideyuki Nitta, Hidetoshi Hibi, Taizo Baba, Hideo Sugita, Hiroki |
| description | Purpose
Endoscopic surgery is widely accepted for both elective and emergent abdominal surgery. This study was performed to assess the accuracy of preoperative adhesion mapping by abdominal ultrasonography (US).
Methods
Intra‐abdominal intestinal adhesions on the abdominal wall in 50 patients with a history of abdominal surgery were prospectively assessed by the visceral slide test with US before laparoscopic surgery from 2019 to 2022. Adhesion was assessed in six separate abdominal zones during US. Actual adhesion on the abdominal wall was confirmed during laparoscopic surgery.
Results
The sliding distances in upper right, upper central, upper left, lower right, lower central, and lower left zones in patients with versus without intestinal adhesion were 4.4 versus 1.4 cm (P = .004), 3.4 versus 2.5 cm, 4.3 versus 1.3 cm (P = .011), 3.1 versus 1.5 cm (P = .0014), 3.3 versus 1.1 cm (P = .013), and 3.4 versus 0.8 cm (P = .0061), respectively. Receiver operating characteristic analysis revealed the optimal value of sliding distance as 2.5 cm and the area under the curve as 0.86. The specificity of US assessment of adhesion was lower in the central zone than in lateral zones. Loose adhesion mostly seen around the scar was attributed to either filmy tissue or omental adhesion, leading to visceral sliding during US.
Conclusion
This study revealed the reason for insufficient accuracy of preoperative US assessment of intestinal adhesion around the scar area because of loose adhesion. The upper lateral area might be optimal for first port insertion. |
| doi_str_mv | 10.1111/ases.13332 |
| format | Article |
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Endoscopic surgery is widely accepted for both elective and emergent abdominal surgery. This study was performed to assess the accuracy of preoperative adhesion mapping by abdominal ultrasonography (US).
Methods
Intra‐abdominal intestinal adhesions on the abdominal wall in 50 patients with a history of abdominal surgery were prospectively assessed by the visceral slide test with US before laparoscopic surgery from 2019 to 2022. Adhesion was assessed in six separate abdominal zones during US. Actual adhesion on the abdominal wall was confirmed during laparoscopic surgery.
Results
The sliding distances in upper right, upper central, upper left, lower right, lower central, and lower left zones in patients with versus without intestinal adhesion were 4.4 versus 1.4 cm (P = .004), 3.4 versus 2.5 cm, 4.3 versus 1.3 cm (P = .011), 3.1 versus 1.5 cm (P = .0014), 3.3 versus 1.1 cm (P = .013), and 3.4 versus 0.8 cm (P = .0061), respectively. Receiver operating characteristic analysis revealed the optimal value of sliding distance as 2.5 cm and the area under the curve as 0.86. The specificity of US assessment of adhesion was lower in the central zone than in lateral zones. Loose adhesion mostly seen around the scar was attributed to either filmy tissue or omental adhesion, leading to visceral sliding during US.
Conclusion
This study revealed the reason for insufficient accuracy of preoperative US assessment of intestinal adhesion around the scar area because of loose adhesion. The upper lateral area might be optimal for first port insertion.</description><identifier>ISSN: 1758-5902</identifier><identifier>ISSN: 1758-5910</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.13332</identifier><identifier>PMID: 38922724</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Abdomen ; Abdominal surgery ; abdominal ultrasonography ; Abdominal Wall - diagnostic imaging ; Abdominal Wall - surgery ; Accuracy ; Adhesion ; Adult ; Aged ; Female ; first port ; Humans ; Laparoscopy ; Male ; Middle Aged ; Preoperative Care - methods ; Prospective Studies ; Tissue Adhesions - diagnostic imaging ; Ultrasonic imaging ; Ultrasonography</subject><ispartof>Asian journal of endoscopic surgery, 2024-07, Vol.17 (3), p.e13332-n/a</ispartof><rights>2024 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2462-28289837a6607777e472bbebe3041297f792331d1b445887f300abc853b41b8c3</cites><orcidid>0000-0002-1750-5318 ; 0000-0003-4943-4523</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.13332$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.13332$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38922724$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okabe, Hirohisa</creatorcontrib><creatorcontrib>Masuda, Toshiro</creatorcontrib><creatorcontrib>Tomita, Masahiro</creatorcontrib><creatorcontrib>Ono, Asuka</creatorcontrib><creatorcontrib>Kuroda, Daisuke</creatorcontrib><creatorcontrib>Kuroki, Hideyuki</creatorcontrib><creatorcontrib>Nitta, Hidetoshi</creatorcontrib><creatorcontrib>Hibi, Taizo</creatorcontrib><creatorcontrib>Baba, Hideo</creatorcontrib><creatorcontrib>Sugita, Hiroki</creatorcontrib><title>Diagnostic accuracy of preoperative adhesion mapping by ultrasonography for laparoscopic surgery in patients with past abdominal surgery with special reference to loose adhesion</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Purpose
Endoscopic surgery is widely accepted for both elective and emergent abdominal surgery. This study was performed to assess the accuracy of preoperative adhesion mapping by abdominal ultrasonography (US).
Methods
Intra‐abdominal intestinal adhesions on the abdominal wall in 50 patients with a history of abdominal surgery were prospectively assessed by the visceral slide test with US before laparoscopic surgery from 2019 to 2022. Adhesion was assessed in six separate abdominal zones during US. Actual adhesion on the abdominal wall was confirmed during laparoscopic surgery.
Results
The sliding distances in upper right, upper central, upper left, lower right, lower central, and lower left zones in patients with versus without intestinal adhesion were 4.4 versus 1.4 cm (P = .004), 3.4 versus 2.5 cm, 4.3 versus 1.3 cm (P = .011), 3.1 versus 1.5 cm (P = .0014), 3.3 versus 1.1 cm (P = .013), and 3.4 versus 0.8 cm (P = .0061), respectively. Receiver operating characteristic analysis revealed the optimal value of sliding distance as 2.5 cm and the area under the curve as 0.86. The specificity of US assessment of adhesion was lower in the central zone than in lateral zones. Loose adhesion mostly seen around the scar was attributed to either filmy tissue or omental adhesion, leading to visceral sliding during US.
Conclusion
This study revealed the reason for insufficient accuracy of preoperative US assessment of intestinal adhesion around the scar area because of loose adhesion. The upper lateral area might be optimal for first port insertion.</description><subject>Abdomen</subject><subject>Abdominal surgery</subject><subject>abdominal ultrasonography</subject><subject>Abdominal Wall - diagnostic imaging</subject><subject>Abdominal Wall - surgery</subject><subject>Accuracy</subject><subject>Adhesion</subject><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>first port</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Preoperative Care - methods</subject><subject>Prospective Studies</subject><subject>Tissue Adhesions - diagnostic imaging</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><issn>1758-5902</issn><issn>1758-5910</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1DAUhi0EoqWw4QGQJTYIaVpfkthZVqVApUpdFNbRsedkxlViGztplcfiDfF0yiB1wdn49unTOf4Jec_ZKS91BhnzKZdSihfkmKtar-qWs5eHPRNH5E3Od4w1ilfyNTmSuhVCieqY_P7iYONDnpylYO2cwC409DQmDBETTO4eKay3mF3wdIQYnd9Qs9B5mBLk4MMmQdwutA-JDhAhhWxDLLY8pw2mhTpPY9GgnzJ9cNO2nPJEwazD6DwMB-7xLUe0rlwm7DGht0inQIcQ8r8m3pJXPQwZ3z2tJ-Tn18sfF99X1zffri7Or1dWVI1YCS10q6WCpmGqFFZKGIMGJau4aFWvWiElX3NTVbXWqpeMgbG6lqbiRlt5Qj7tvTGFXzPmqRtdtjgM4DHMuZNMCdXqptEF_fgMvQtzKsPtKM20qlRbF-rznrLlj3KZsIvJjZCWjrNuF2S3C7J7DLLAH56UsxlxfUD_JlcAvgce3IDLf1Td-e3l7V76B-unrDM</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Okabe, Hirohisa</creator><creator>Masuda, Toshiro</creator><creator>Tomita, Masahiro</creator><creator>Ono, Asuka</creator><creator>Kuroda, Daisuke</creator><creator>Kuroki, Hideyuki</creator><creator>Nitta, Hidetoshi</creator><creator>Hibi, Taizo</creator><creator>Baba, Hideo</creator><creator>Sugita, Hiroki</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1750-5318</orcidid><orcidid>https://orcid.org/0000-0003-4943-4523</orcidid></search><sort><creationdate>202407</creationdate><title>Diagnostic accuracy of preoperative adhesion mapping by ultrasonography for laparoscopic surgery in patients with past abdominal surgery with special reference to loose adhesion</title><author>Okabe, Hirohisa ; Masuda, Toshiro ; Tomita, Masahiro ; Ono, Asuka ; Kuroda, Daisuke ; Kuroki, Hideyuki ; Nitta, Hidetoshi ; Hibi, Taizo ; Baba, Hideo ; Sugita, Hiroki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2462-28289837a6607777e472bbebe3041297f792331d1b445887f300abc853b41b8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdomen</topic><topic>Abdominal surgery</topic><topic>abdominal ultrasonography</topic><topic>Abdominal Wall - diagnostic imaging</topic><topic>Abdominal Wall - surgery</topic><topic>Accuracy</topic><topic>Adhesion</topic><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>first port</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Preoperative Care - methods</topic><topic>Prospective Studies</topic><topic>Tissue Adhesions - diagnostic imaging</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okabe, Hirohisa</creatorcontrib><creatorcontrib>Masuda, Toshiro</creatorcontrib><creatorcontrib>Tomita, Masahiro</creatorcontrib><creatorcontrib>Ono, Asuka</creatorcontrib><creatorcontrib>Kuroda, Daisuke</creatorcontrib><creatorcontrib>Kuroki, Hideyuki</creatorcontrib><creatorcontrib>Nitta, Hidetoshi</creatorcontrib><creatorcontrib>Hibi, Taizo</creatorcontrib><creatorcontrib>Baba, Hideo</creatorcontrib><creatorcontrib>Sugita, Hiroki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okabe, Hirohisa</au><au>Masuda, Toshiro</au><au>Tomita, Masahiro</au><au>Ono, Asuka</au><au>Kuroda, Daisuke</au><au>Kuroki, Hideyuki</au><au>Nitta, Hidetoshi</au><au>Hibi, Taizo</au><au>Baba, Hideo</au><au>Sugita, Hiroki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic accuracy of preoperative adhesion mapping by ultrasonography for laparoscopic surgery in patients with past abdominal surgery with special reference to loose adhesion</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2024-07</date><risdate>2024</risdate><volume>17</volume><issue>3</issue><spage>e13332</spage><epage>n/a</epage><pages>e13332-n/a</pages><issn>1758-5902</issn><issn>1758-5910</issn><eissn>1758-5910</eissn><abstract>Purpose
Endoscopic surgery is widely accepted for both elective and emergent abdominal surgery. This study was performed to assess the accuracy of preoperative adhesion mapping by abdominal ultrasonography (US).
Methods
Intra‐abdominal intestinal adhesions on the abdominal wall in 50 patients with a history of abdominal surgery were prospectively assessed by the visceral slide test with US before laparoscopic surgery from 2019 to 2022. Adhesion was assessed in six separate abdominal zones during US. Actual adhesion on the abdominal wall was confirmed during laparoscopic surgery.
Results
The sliding distances in upper right, upper central, upper left, lower right, lower central, and lower left zones in patients with versus without intestinal adhesion were 4.4 versus 1.4 cm (P = .004), 3.4 versus 2.5 cm, 4.3 versus 1.3 cm (P = .011), 3.1 versus 1.5 cm (P = .0014), 3.3 versus 1.1 cm (P = .013), and 3.4 versus 0.8 cm (P = .0061), respectively. Receiver operating characteristic analysis revealed the optimal value of sliding distance as 2.5 cm and the area under the curve as 0.86. The specificity of US assessment of adhesion was lower in the central zone than in lateral zones. Loose adhesion mostly seen around the scar was attributed to either filmy tissue or omental adhesion, leading to visceral sliding during US.
Conclusion
This study revealed the reason for insufficient accuracy of preoperative US assessment of intestinal adhesion around the scar area because of loose adhesion. The upper lateral area might be optimal for first port insertion.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>38922724</pmid><doi>10.1111/ases.13332</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1750-5318</orcidid><orcidid>https://orcid.org/0000-0003-4943-4523</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1758-5902 |
| ispartof | Asian journal of endoscopic surgery, 2024-07, Vol.17 (3), p.e13332-n/a |
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| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Abdomen Abdominal surgery abdominal ultrasonography Abdominal Wall - diagnostic imaging Abdominal Wall - surgery Accuracy Adhesion Adult Aged Female first port Humans Laparoscopy Male Middle Aged Preoperative Care - methods Prospective Studies Tissue Adhesions - diagnostic imaging Ultrasonic imaging Ultrasonography |
| title | Diagnostic accuracy of preoperative adhesion mapping by ultrasonography for laparoscopic surgery in patients with past abdominal surgery with special reference to loose adhesion |
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