Rui Bao, GuoLei Liang, YiNan Liu, Dan Wang, Rui Ma, YiZhi Cui, YangYang Tian, Le Wang, Fulin Guan
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引用次数: 0
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.
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.