A Study of risk factors of postoperative ileus after laparoscopic colorectal resection
Abstract Aim Postoperative ileus (POI) is a common complication after abdominal surgery. However, the risk factors for POI after laparoscopic colorectal resection are unclear. We therefore investigated the risk factors for POI after laparoscopic colorectal surgery. Methods This retrospective study i...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | Annals of Gastroenterological Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ags3.12705 |
| _version_ | 1797639373544488960 |
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| author | Sunao Fujiyoshi Shigenori Homma Tadashi Yoshida Nobuki Ichikawa Kengo Shibata Hiroki Matsui Akinobu Taketomi |
| author_facet | Sunao Fujiyoshi Shigenori Homma Tadashi Yoshida Nobuki Ichikawa Kengo Shibata Hiroki Matsui Akinobu Taketomi |
| author_sort | Sunao Fujiyoshi |
| collection | DOAJ |
| description | Abstract Aim Postoperative ileus (POI) is a common complication after abdominal surgery. However, the risk factors for POI after laparoscopic colorectal resection are unclear. We therefore investigated the risk factors for POI after laparoscopic colorectal surgery. Methods This retrospective study involved 484 patients who underwent laparoscopic surgery for primary colorectal cancer at Hokkaido University Hospital. We categorized the patients into a POI group (n = 19) and non‐POI group (n = 465). We compared sex, age, smoking, chronic obstructive pulmonary disease (COPD), diabetes mellitus, body mass index (BMI), cardiac disorder, serum albumin, American Society of Anesthesiologists‐physical status, tumor location, tumor stage, operative duration, stoma formation, lymph node dissection, operator, and bleeding as potential risk factors for POI between the POI group and non‐POI group by univariate and multivariate analyses. Results The univariate analysis results showed that the POI group had a higher incidence of male sex (P = 0.036), COPD (P = 0.029), and a BMI of <20 kg/m2 (P = 0.0487) as well as a higher bleeding volume (P = 0.014). The multivariate analysis results showed that male sex (odds ratio [OR], 0.2799; 95% confidence interval [CI], 0.089–0.993; P = 0.0298), COPD (0.2866; 0.095–0.862; P = 0.0262), and a BMI of <20 kg/m2 (0.2985; 0.112–0.794; P = 0.0154) were independent risk factors for POI after laparoscopic colorectal resection. Conclusion Our findings suggest that male sex, COPD, and a BMI of <20 kg/m2 are independent risk factors for POI after laparoscopic colorectal surgery for treatment of colorectal cancer. |
| first_indexed | 2024-03-11T13:15:55Z |
| format | Article |
| id | doaj.art-b25dd78f818f426b93d7f7c1120f28ec |
| institution | Directory Open Access Journal |
| issn | 2475-0328 |
| language | English |
| last_indexed | 2024-03-11T13:15:55Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Gastroenterological Surgery |
| spelling | doaj.art-b25dd78f818f426b93d7f7c1120f28ec2023-11-03T13:04:50ZengWileyAnnals of Gastroenterological Surgery2475-03282023-11-017694995410.1002/ags3.12705A Study of risk factors of postoperative ileus after laparoscopic colorectal resectionSunao Fujiyoshi0Shigenori Homma1Tadashi Yoshida2Nobuki Ichikawa3Kengo Shibata4Hiroki Matsui5Akinobu Taketomi6Department of Gastroenterological Surgery I Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Gastroenterological Surgery I Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Gastroenterological Surgery I Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Gastroenterological Surgery I Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Gastroenterological Surgery I Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Gastroenterological Surgery I Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Gastroenterological Surgery I Hokkaido University Graduate School of Medicine Sapporo JapanAbstract Aim Postoperative ileus (POI) is a common complication after abdominal surgery. However, the risk factors for POI after laparoscopic colorectal resection are unclear. We therefore investigated the risk factors for POI after laparoscopic colorectal surgery. Methods This retrospective study involved 484 patients who underwent laparoscopic surgery for primary colorectal cancer at Hokkaido University Hospital. We categorized the patients into a POI group (n = 19) and non‐POI group (n = 465). We compared sex, age, smoking, chronic obstructive pulmonary disease (COPD), diabetes mellitus, body mass index (BMI), cardiac disorder, serum albumin, American Society of Anesthesiologists‐physical status, tumor location, tumor stage, operative duration, stoma formation, lymph node dissection, operator, and bleeding as potential risk factors for POI between the POI group and non‐POI group by univariate and multivariate analyses. Results The univariate analysis results showed that the POI group had a higher incidence of male sex (P = 0.036), COPD (P = 0.029), and a BMI of <20 kg/m2 (P = 0.0487) as well as a higher bleeding volume (P = 0.014). The multivariate analysis results showed that male sex (odds ratio [OR], 0.2799; 95% confidence interval [CI], 0.089–0.993; P = 0.0298), COPD (0.2866; 0.095–0.862; P = 0.0262), and a BMI of <20 kg/m2 (0.2985; 0.112–0.794; P = 0.0154) were independent risk factors for POI after laparoscopic colorectal resection. Conclusion Our findings suggest that male sex, COPD, and a BMI of <20 kg/m2 are independent risk factors for POI after laparoscopic colorectal surgery for treatment of colorectal cancer.https://doi.org/10.1002/ags3.12705chronic obstructive pulmonary diseasecolorectal cancerlaparoscopic surgerypostoperative ileusrisk factor |
| spellingShingle | Sunao Fujiyoshi Shigenori Homma Tadashi Yoshida Nobuki Ichikawa Kengo Shibata Hiroki Matsui Akinobu Taketomi A Study of risk factors of postoperative ileus after laparoscopic colorectal resection Annals of Gastroenterological Surgery chronic obstructive pulmonary disease colorectal cancer laparoscopic surgery postoperative ileus risk factor |
| title | A Study of risk factors of postoperative ileus after laparoscopic colorectal resection |
| title_full | A Study of risk factors of postoperative ileus after laparoscopic colorectal resection |
| title_fullStr | A Study of risk factors of postoperative ileus after laparoscopic colorectal resection |
| title_full_unstemmed | A Study of risk factors of postoperative ileus after laparoscopic colorectal resection |
| title_short | A Study of risk factors of postoperative ileus after laparoscopic colorectal resection |
| title_sort | study of risk factors of postoperative ileus after laparoscopic colorectal resection |
| topic | chronic obstructive pulmonary disease colorectal cancer laparoscopic surgery postoperative ileus risk factor |
| url | https://doi.org/10.1002/ags3.12705 |
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