Loop colostomy as a risk factor of postoperative ileus in elective colorectal cancer surgery

Khubezov D.A.; Sazhin V.P.; Ignatov I.S.; Ogoreltsev A.Yu.; Li Yu.B.; Vedishchev V.V.; Puchkov D.K.; Kochetkov F.D.

doi:https://doi.org/10.17116/hirurgia202112156

Khubezov D.A.

Ryazan State Medical University

Sazhin V.P.

Vishnevsky National Medical Research Center of Surgery;
Pavlov Ryazan State Medical University

ORCID: 0000-0001-9452-1656

Ignatov I.S.

Ryazan State Clinical Hospital

Ogoreltsev A.Yu.

Ryazan State Medical University;
Ryazan State Clinical Hospital

Li Yu.B.

Ryazan State Clinical Hospital

Vedishchev V.V.

Ryazan State Clinical Hospital

Puchkov D.K.

Ryazan State Medical University

Kochetkov F.D.

Ryazan State Medical University

Loop colostomy as a risk factor of postoperative ileus in elective colorectal cancer surgery

Authors:

Khubezov D.A., Sazhin V.P., Ignatov I.S., Ogoreltsev A.Yu., Li Yu.B., Vedishchev V.V., Puchkov D.K., Kochetkov F.D.

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Journal: Pirogov Russian Journal of Surgery. 2021;(12): 56‑62

DOI: 10.17116/hirurgia202112156

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To cite this article:

Khubezov DA, Sazhin VP, Ignatov IS, et al. . Loop colostomy as a risk factor of postoperative ileus in elective colorectal cancer surgery. Pirogov Russian Journal of Surgery. 2021;(12):56‑62. (In Russ.)
https://doi.org/10.17116/hirurgia202112156

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To identify risk factors of postoperative ileus (POI) in elective colorectal cancer (CRC) surgery.

MATERIAL AND METHODS

A non-randomized retrospective study included 220 patients who underwent elective surgery for colorectal tumors. The indication for surgery was CRC stage 0—IV in 213 (96.8%) cases, villous adenoma in 7 cases (3.2%). Risk factors of POI defined in univariate analysis were included into multivariate analysis. Logistic regression was used in this case.

RESULTS

Risk factors of POI were male sex (p=0.04), multifocal CRC (p=0.03), intraoperative transfusion (p=0.005), postoperative transfusion (p=0.035), left-sided hemicolectomy (p=0.01), colostomy (p=0.02), loop transversostomy (p=0.003), loop colostomy (p=0.02). According to logistic regression, independent risk factors of POI were male sex (p=0.015), left-sided hemicolectomy (p=0.004), intraoperative transfusion p=0.002), loop transversostomy (p=0.019).

CONCLUSION

Independent risk factors of POI in elective colorectal cancer surgery were male sex, left-sided hemicolectomy, intraoperative transfusion and loop transversostomy.

Keywords:

colorectal cancer

postoperative ileus

colostomy

Authors:

Khubezov D.A.

Ryazan State Medical University

Sazhin V.P.

Vishnevsky National Medical Research Center of Surgery;
Pavlov Ryazan State Medical University

ORCID: 0000-0001-9452-1656

Ignatov I.S.

Ryazan State Clinical Hospital

Ogoreltsev A.Yu.

Ryazan State Medical University;
Ryazan State Clinical Hospital

Li Yu.B.

Ryazan State Clinical Hospital

Vedishchev V.V.

Ryazan State Clinical Hospital

Puchkov D.K.

Ryazan State Medical University

Kochetkov F.D.

Ryazan State Medical University

Received:

04.02.2021

Accepted:

01.03.2021

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References:

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