scholarly journals Postoperative ileus in colorectal surgery: is there any difference between laparoscopic and open surgery?

2013 ◽  
Vol 1 (2) ◽  
pp. 138-143 ◽  
Author(s):  
M. Fesharakizadeh ◽  
D. Taheri ◽  
S. Dolatkhah ◽  
S. D. Wexner
Keyword(s):  
Colorectal Surgery ◽  
Open Surgery ◽  
Postoperative Ileus

PyRICo‐Pilot – Pyridostigmine to reduce the duration of postoperative ileus after colorectal surgery – a phase II study

2021 ◽  
Author(s):  
Nagendra N Dudi‐Venkata ◽  
Hidde M Kroon ◽  
Sergei Bedrikovetski ◽  
Luke Traeger ◽  
Mark Lewis ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Phase Ii ◽  
Postoperative Ileus ◽  
Phase Ii Study

scholarly journals The clinical and economical impact of postoperative ileus in patients undergoing colorectal surgery

2020 ◽  
Vol 32 (8) ◽  
Author(s):  
Emmeline G. Peters ◽  
Madhuri Pattamatta ◽  
Boudewijn J. J. Smeets ◽  
Daan J. Brinkman ◽  
Silvia M. A. A. Evers ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Postoperative Ileus

Goal-directed Fluid Therapy Does Not Reduce Primary Postoperative Ileus after Elective Laparoscopic Colorectal Surgery

2017 ◽  
Vol 127 (1) ◽  
pp. 36-49 ◽  
Author(s):  
Juan C. Gómez-Izquierdo ◽  
Alessandro Trainito ◽  
David Mirzakandov ◽  
Barry L. Stein ◽  
Sender Liberman ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Fluid Therapy ◽  
Postoperative Ileus ◽  
Enhanced Recovery ◽  
Laparoscopic Colorectal Surgery ◽  
Enhanced Recovery After Surgery ◽  
Therapy Group ◽  
Control Group ◽  
Goal Directed Fluid Therapy ◽  
The Impact

Abstract Background Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Methods Randomized patient and assessor-blind controlled trial conducted in adult patients undergoing laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Patients were assigned randomly to receive intraoperative goal-directed fluid therapy (goal-directed fluid therapy group) or fluid therapy based on traditional principles (control group). Primary postoperative ileus was the primary outcome. Results One hundred twenty-eight patients were included and analyzed (goal-directed fluid therapy group: n = 64; control group: n = 64). The incidence of primary postoperative ileus was 22% in the goal-directed fluid therapy and 22% in the control group (relative risk, 1; 95% CI, 0.5 to 1.9; P = 1.00). Intraoperatively, patients in the goal-directed fluid therapy group received less intravenous fluids (mainly less crystalloids) but a greater volume of colloids. The increase of stroke volume and cardiac output was more pronounced and sustained in the goal-directed fluid therapy group. Length of hospital stay, 30-day postoperative morbidity, and mortality were not different. Conclusions Intraoperative goal-directed fluid therapy compared with fluid therapy based on traditional principles does not reduce primary postoperative ileus in patients undergoing laparoscopic colorectal surgery in the context of an Enhanced Recovery After Surgery program. Its previously demonstrated benefits might have been offset by advancements in perioperative care.

scholarly journals Laparoscopic Appendectomy Versus Open Appendectomy in Children: Evolution over Time

2021 ◽  
Vol 26 (1) ◽  
pp. 44-46
Author(s):  
Laura Dumitrică ◽  
Luminiţa Dobrotă ◽  
Bogdan Neamţu
Keyword(s):  
Laparoscopic Appendectomy ◽  
Comparative Evaluation ◽  
Open Surgery ◽  
Postoperative Ileus ◽  
Open Appendectomy ◽  
Safe Procedure ◽  
The World ◽  
Clinical Benefits ◽  
Meta Analyses ◽  
Reduced Risk

Abstract Laparoscopic appendicitis surgery is accepted in more and more centers around the world. Studies and meta-analyses of studies have shown that laparoscopic appendicitis is a feasible and safe procedure with numerous clinical benefits, such as shorter postoperative ileus, lower incidence of wound infection, lower postoperative pain and duration, recurrence faster to activities. Because laparoscopic appendectomy has been associated with a reduced risk of surgical complications, it may provide a better alternative versus open surgery. A review of data relevant to the evaluation of laparoscopic appendectomy versus open appendectomy as reflected in the literature of the last 2 decades would be relevant for the growing progressive interest of laparoscopic surgery for acute appendicitis and for its comparative evaluation with classical open appendicitis intervention.

Machine learning models for prediction of postoperative ileus in patients underwent laparoscopic colorectal surgery

2020 ◽  
Author(s):  
Xueyan Li ◽  
Genshan Ma ◽  
Xiaobo Qian ◽  
Yamou Wu ◽  
Xiaochen Huang ◽  
...  
Keyword(s):  
Machine Learning ◽  
Risk Factors ◽  
Colorectal Surgery ◽  
Decision Tree ◽  
Risk Prediction ◽  
Postoperative Ileus ◽  
Laparoscopic Colorectal Surgery ◽  
Machine Learning Algorithms ◽  
Gradient Boosting ◽  
Malignant Lesions

Abstract Background: We aimed to assess the performance of machine learning algorithms for the prediction of risk factors of postoperative ileus (POI) in patients underwent laparoscopic colorectal surgery for malignant lesions. Methods: We conducted analyses in a retrospective observational study with a total of 637 patients at Suzhou Hospital of Nanjing Medical University. Four machine learning algorithms (logistic regression, decision tree, random forest, gradient boosting decision tree) were considered to predict risk factors of POI. The total cases were randomly divided into training and testing data sets, with a ratio of 8:2. The performance of each model was evaluated by area under receiver operator characteristic curve (AUC), precision, recall and F1-score. Results: The morbidity of POI in this study was 19.15% (122/637). Gradient boosting decision tree reached the highest AUC (0.76) and was the best model for POI risk prediction. In addition, the results of the importance matrix of gradient boosting decision tree showed that the five most important variables were time to first passage of flatus, opioids during POD3, duration of surgery, height and weight. Conclusions: The gradient boosting decision tree was the optimal model to predict the risk of POI in patients underwent laparoscopic colorectal surgery for malignant lesions. And the results of our study could be useful for clinical guidelines in POI risk prediction.

scholarly journals Minimal-access colorectal surgery is associated with fewer adhesion-related admissions than open surgery

2012 ◽  
Vol 100 (1) ◽  
pp. 152-159 ◽  
Author(s):  
E. M. Burns ◽  
A. Currie ◽  
A. Bottle ◽  
P. Aylin ◽  
A. Darzi ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Open Surgery ◽  
Minimal Access
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