Incidence and risk factors contributing to ileus after posterior approach for lumbar surgery: a retrospective study.

IF 1.6 4区 医学 Q2 SURGERY
Frontiers in Surgery Pub Date : 2025-09-19 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1528409
Rui Bao, GuoLei Liang, YiNan Liu, Dan Wang, Rui Ma, YiZhi Cui, YangYang Tian, Le Wang, Fulin Guan
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Abstract

Objective: This retrospective study aimed to identify the incidence and possible predictive factors associated with ileus after posterior approach for lumbar surgery.

Patients and methods: A total of 267 patients who underwent a posterior approach for lumbar surgery between 2012 and 2020 were analyzed in this study. The differences between the two groups and the risk factors of ileus were explored.

Results: Patients' characteristics showed no significant differences between the two groups. This revealed that gender, age, smoking, hypertension, and diabetes were not associated with postoperative ileus (POI). Patients with POI would increase length of hospital stay significantly (p = 0.015). Operative segment [odds ratio (OR): 1.40, 3.33; p = 0.04 and 0.02], postoperative blood potassium (OR: 0.92, 0.31; p = 0.04), and previous abdominal surgery (OR: 3.02, p = 0.01) were significant independent risk factors for POI. Operation time, blood loss, and anesthesia type were not considered risk factors for POI.

Conclusion: Postoperative ileus can increase the length of hospital stay significantly. Operative segment, postoperative blood potassium, and previous abdominal surgery were significantly associated with POI, which should be highlighted in the preoperative evaluation.

腰椎手术后路入路后导致肠梗阻的发生率和危险因素:一项回顾性研究。
目的:本回顾性研究旨在确定后路腰椎手术后肠梗阻的发生率和可能的预测因素。患者和方法:本研究分析了2012年至2020年间接受后路腰椎手术的267例患者。探讨两组之间的差异及肠梗阻的危险因素。结果:两组患者的特征无明显差异。结果显示,性别、年龄、吸烟、高血压和糖尿病与术后肠梗阻(POI)无关。POI患者住院时间显著增加(p = 0.015)。手术段[比值比(OR): 1.40, 3.33;p = 0.04和0.02]、术后血钾(OR: 0.92、0.31;p = 0.04)、既往腹部手术(OR: 3.02, p = 0.01)是POI的显著独立危险因素。手术时间、出血量、麻醉类型不考虑POI的危险因素。结论:术后肠梗阻可显著延长住院时间。手术段、术后血钾、既往腹部手术与POI有显著相关性,在术前评估时应予以重视。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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