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首页> 外文期刊>ANZ journal of surgery >Prospective comparison of return of bowel function after left versus right colectomy
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Prospective comparison of return of bowel function after left versus right colectomy

机译：左与右侧联合术后肠功能返回的预期比较

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Background Passage of flatus and stool represents a key milestone in recovery after colonic resections. Colorectal surgeons may hold varied expectations regarding recovery rates after left‐ versus right‐sided colectomies, but there is currently little evidence to inform post‐operative care. This study prospectively compared gut function recovery after left‐ versus right‐sided resections. Methods Prospective data were analysed from 94 consecutive patients undergoing elective colorectal resections with primary anastomosis at Auckland City Hospital. Patients having ileostomies were excluded. Primary analysis compared time to first bowel motion between left‐ versus right‐sided resections, excluding patients who developed prolonged post‐operative ileus, while secondary analyses compared length of stay, rates of prolonged ileus and other complications. Results Analysis included 42 patients with left‐sided and 52 with right‐sided resections. No significant differences were observed for complications ( P ?=?0.1), length of stay ( P ?=?0.9) or development of prolonged ileus ( P ?=?0.2). Rate of return of bowel function was faster in patients after left‐sided resections (median 2.5 versus 4 days; P ?=?0.03 by Log‐rank (Mantel–Cox) test), when patients with prolonged post‐operative ileus were excluded. An association was also identified between length of bowel resected and time to recovery of bowel function for right‐sided ( P ?=?0.02) but not left‐sided resections ( P ?=?0.9). Conclusion This study shows that for patients who do not progress to prolonged ileus, those with left‐sided resections experience faster return of bowel function when compared with those having right‐sided resections. The reason for this finding is currently unknown and deserves further attention.
机译：舱内甲板和凳子的背景通过结肠切除后恢复的关键里程碑。结肠直肠外科医生可能在左侧与右侧联合术后的恢复率上持有不同的期望，但目前有没有证据表明术后护理。本研究左侧与右侧切除后的肠功能恢复前瞻性。方法从奥克兰城市医院的主要吻合术中接受选修结直肠切除的94名连续患者分析前瞻性数据。排除了患有对象术的患者。初步分析与右侧切除术后左侧与右侧切除术后的第一个排便的初步分析，除了开发长期术后Ileus的患者，而二次分析比较的逗留时间，延长的肝脏和其他并发症。结果分析包括42例左侧左侧和52例，右侧切除术。对并发症没有显着差异（p？= 0.1），保持长度（p？= 0.9）或延长的inleus的发育（p？= 0.2）。左侧切除后患者患者恢复率（中位数2.5与4天; P？= 0.03通过逻辑秩（Mantel-Cox）试验），当延长术后肠梗阻的患者被排除在外。还在肠道肠道长度之间鉴定了一个关联和右侧的肠功能恢复的时间（p？= 0.02），但不是左侧切除（p？= 0.9）。结论本研究表明，对于延长肝脏延长的患者，与右侧切除的人相比，左侧切除术的患者的恢复速度更快。此发现的原因目前未知，值得进一步关注。

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