Prolonged postoperative ileus in gastric surgery: Is there any difference between laparoscopic and open surgery?

Cancer Medicine
Wenquan LiangLin Chen

Abstract

Prolonged postoperative ileus (PPOI) is a common complication after abdominal surgery, but data about risk factors of PPOI for patients with gastric cancer are rare. We sought to investigate the impact of laparoscopic versus open surgery for PPOI after gastric cancer surgery. A retrospective cohort study was conducted using a registry database consecutively collected from June 2016 to March 2017. PPOI was defined as no bowel function persisting for more than 4 days. Univariate analysis and multiple logistic regression models were performed to investigate risk factors, and stratified analysis was carried out to examine the primary association at different levels of a potential confounding factor. A total of 162 patients composed of 63 patients undergoing laparotomy and 99 patients undergoing laparoscopy were enrolled and PPOI was observed in 32 (19.75%) patients. Risk factors significantly correlated with PPOI were as follows: open surgery, older age, late surgical pathologic staging, postoperative use of opioid analgesic, low level of postoperative albumin and serum potassium. Compared to open surgery, the laparoscopic surgery was a strong protective factor for PPOI after adjusting related variables (OR = 0.17, CI: 0.05-0.52, P...Continue Reading

References

Dec 16, 2000·The New England Journal of Medicine·W N KernanR I Horwitz
Jan 5, 2002·American Journal of Surgery·H Kehlet, K Holte
Feb 24, 2004·Diseases of the Colon and Rectum·Mirza K Baig, Steven D Wexner
Feb 29, 2008·World Journal of Surgery·Avo ArtinyanRobert W Beart
Mar 3, 2012·Langenbeck's Archives of Surgery·Sven WehnerJoerg C Kalff
Feb 5, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ryash VatherIan Bissett
Feb 9, 2013·Diseases of the Colon and Rectum·Masashi YamamotoKazuhisa Uchiyama
Dec 7, 2013·World Journal of Gastroenterology : WJG·Jun-Jie XiongXu-Bao Liu
Jan 29, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Hyung-Ho KimSeong Yeob Ryu
May 29, 2015·Surgical Endoscopy·Zhobin MoghadamyeghanehMichael J Stamos
Nov 13, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A M WolthuisA D'Hoore
Feb 19, 2016·Langenbeck's Archives of Surgery·Hella ScotlandMarkus K Muller
Feb 24, 2016·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Yanfeng HuGuoxin Li
Aug 21, 2016·Asian Journal of Surgery·Im-Kyung KimSeung-Kook Sohn
Apr 27, 2017·International Journal of Colorectal Disease·Albert M WolthuisAndré D'Hoore
Nov 10, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kotaro SugawaraNobutaka Tanaka
May 29, 2019·JAMA : the Journal of the American Medical Association·Jiang YuUNKNOWN Chinese Laparoscopic Gastrointestinal Surgery Study (CLASS) Group

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Software Mentioned

R

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.