Laparoscopic colectomy is associated with decreased postoperative gastrointestinal dysfunction
| Autor: | Eyal Hashavia, Danny Rosin, Oded Zmora, Yaron Munz, Limor Dinur, A. Ayalon, Marat Khaikin, Moshe Shabtai |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male Laparoscopic surgery medicine.medical_specialty Time Factors Ileus medicine.medical_treatment Cohort Studies Colonic Diseases Young Adult Laparotomy medicine Humans Laparoscopy Intubation Gastrointestinal Colectomy Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Middle Aged medicine.disease Colorectal surgery Endoscopy Surgery Anesthesia Postoperative Nausea and Vomiting Female business Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 23:87-89 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | Background Major abdominal surgery is associated with early postoperative gastrointestinal dysfunction, which may lead to abdominal distention and vomiting, requiring nasogastric (NGT) tube insertion. This study aimed to compare the rates of early postoperative NGT insertion after open and laparoscopic colorectal surgery. Methods A retrospective chart review was performed for patients who underwent colorectal surgery with removal of the NGT at completion of surgery. Patients who required reinsertion of the NGT in the early postoperative course were identified. The reinsertion rate for patients who underwent laparoscopic surgery was compared with that for the open group. Results There were 103 patients in the open group and 227 in the laparoscopic group. In the laparoscopic group, 42 patients underwent conversion to open surgery. Reinsertion of the NGT was required for 18.4% of the patients in the open group, compared with 8.6% of the patients for whom the procedure was completed laparoscopically (p = 0.02). Conversion to open surgery resulted in a reinsertion rate of 17%. Conclusion Laparoscopic colorectal surgery is associated with decreased postoperative gastrointestinal dysfunction, resulting in a significantly lower NGT reinsertion rate. |
| Databáze: | OpenAIRE |
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