دورية أكاديمية

Prolonged postoperative ileus after elective colorectal cancer surgery

التفاصيل البيبلوغرافية
العنوان: Prolonged postoperative ileus after elective colorectal cancer surgery
المؤلفون: Nestorović Milica, Stanojević Goran, Branković Branko, Pecić Vanja, Jeremić Ljiljana
المصدر: Vojnosanitetski Pregled, Vol 75, Iss 8, Pp 780-786 (2018)
بيانات النشر: Military Health Department, Ministry of Defance, Serbia, 2018.
سنة النشر: 2018
المجموعة: LCC:Medicine (General)
مصطلحات موضوعية: colorectal neoplasms, postoperative complications, ileus, digestive system surgical procedures, elective surgical procedures, risk factors, Medicine (General), R5-920
الوصف: Background/Aim. Postoperative ileus is a frequent and frustrating occurence for both, patients and surgeons after abdominal surgery. Besides clinical importance of postoperative ileus, its economic aspect is also important. The aim of this prospective study was to analyze development of prolonged postoperative ileus after elective colorectal surgery for cancer and its impact on early postoperative outcome. Methods. This prospective study included all eligible patients, 18 years or older, scheduled for open colorectal resection for cancer from June, 2015 to February, 2016. Patients with metastatic disease, prior hemoirradiation or any resection other then curative were excluded. The study duration was up to 30 days postoperatively. Primary outcome measure was development of prolonged postoperative ileus according to strict definition. The impact of prolonged postoperative ileus on other outcome measures such as postoperative complications, surgical site infections, anastomotic leakage, reoperations, mortality and length of hospital stay were of great interest, too. Results. This prospective study included 103 patients, 64 (37.9%) men and 39 (62.1%) women, mean age 66 years. Prolonged postoperative ileus developed in 12 (11.3%) patients. One third of the patients had some type of surgical site infection, while 47.6% had complications. Ten (9.7%) patients required reoperation. Comparing the group of patients with prolonged postoperative ileus with those without, there were no statistically significant differences in rates of surgical site infection and anastomotic leakage. There was statistically significant difference in terms of complications (_2 = 34.966; p < 0.001), complications grade III (_2 = 23.43; p < 0.001) and reoperations (_2 = 15.724; p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
Serbian
تدمد: 0042-8450
2406-0720
Relation: https://doaj.org/toc/0042-8450; https://doaj.org/toc/2406-0720
DOI: 10.2298/VSP160527387N
URL الوصول: https://doaj.org/article/5fade803d73d4f8198c74e64213abb34
رقم الأكسشن: edsdoj.5fade803d73d4f8198c74e64213abb34
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:00428450
24060720
DOI:10.2298/VSP160527387N