Zeng HJ, Liu JJ, Yang YC. Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery. World J Gastrointest Surg 2024; 16(1): 76-84 [PMID: 38328324 DOI: 10.4240/wjgs.v16.i1.76]
Corresponding Author of This Article
Ying-Chun Yang, MM, Attending Doctor, Department of Anesthesiology, Beijing Fengtai Hospital, No. 1 Xi'an Street, Fengtai District, Beijing 100071, China. yycsci@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Gastrointest Surg. Jan 27, 2024; 16(1): 76-84 Published online Jan 27, 2024. doi: 10.4240/wjgs.v16.i1.76
Table 1 Comparison of clinical data of the two groups of patients
Index
Study group (n = 100)
Control group (n = 100)
χ2/t
P value
Gender (n)
0.022
0.883
Male
65
35
Female
64
36
Age (yr)
48.8 ± 4.5
49.5 ± 5.8
0.639
0.524
BMI (kg/m2)
21.50 ± 3.12
22.01 ± 2.85
1.207
0.229
Surgical type (n)
0.088
0.993
Biliary-intestinal anastomosis
33
34
Hepatic lobectomy
32
31
Pancreaticoduodenectomy
19
18
Pancreaticocaudectomy
16
17
Complications (n)
0.795
0.672
Diabetes
4
5
Hypertension
18
14
Hyperlipidemia
9
11
Smoking history (n)
0.189
0.664
Yes
16
18
No
29
27
Drinking history (n)
0.179
0.673
Yes
20
22
No
25
23
Table 2 Comparison of bowel sounds recovery time, gas discharge time, and first feeding time in two groups of patients (mean ± SD)
Index
Study group (n = 100)
Control group (n = 100)
t
P value
Feeding time (h)
32.15 ± 6.01
45.38 ± 5.63
16.065
< 0.001
Defecation time (h)
41.15 ± 9.46
55.38 ± 11.03
9.793
< 0.001
Bowel sound recovery time (h)
28.86 ± 8.46
47.71 ± 10.27
14.167
< 0.001
Anal first exhaust time (h)
39.14 ± 9.51
49.91 ± 8.53
8.431
< 0.001
First out of bed time (d)
2.16 ± 1.03
3.27 ± 1.62
5.782
< 0.001
Table 3 Comparison of overall therapeutic effectiveness between the two groups [n (%)]
Index
Study group (n = 100)
Control group (n = 100)
χ2
P value
Remarkable
73 (73.00)
40 (40.00)
Effective
25 (25.00)
28 (28.00)
Invalidity
2 (2.00)
32 (32.00)
Total effective rate
98 (98.00)
68 (68.00)
31.892
< 0.001
Table 4 Postoperative hospitalization status and pain analysis in the two groups (mean ± SD)
Index
Study group (n = 100)
Control group (n = 100)
t
P value
Duration of hospitalization (d)
7.24 ± 0.81
12.16 ± 0.93
39.893
< 0.001
Postoperative pain score (s)
2.03 ± 0.15
3.85 ± 1.02
17.653
< 0.001
Catheter removal time (d)
2.16 ± 0.31
3.97 ± 0.52
29.898
< 0.001
Table 5 Comparison of postoperative complications between the two groups [n (%)]
Index
Study group (n = 100)
Control group (n = 100)
χ2
P value
Intestinal obstruction
2 (2.00)
6 (6.00)
Stomatitis
1 (1.00)
8 (8.00)
Belch
1 (1.00)
9 (9.00)
Chapstick
1 (1.00)
11 (11.00)
Overall incidence rate
5 (5.00)
34 (34.00)
26.788
< 0.001
Table 6 Comparison of nutritional index before and after intervention in the two groups of patients (mean ± SD)
Index
Study group (n = 100)
Control group (n = 100)
t
P value
Before intervention
32.15 ± 3.83
31.95 ± 3.28
0.397
> 0.05
After intervention
48.72 ± 2.51
35.63 ± 3.16
32.437
< 0.001
Citation: Zeng HJ, Liu JJ, Yang YC. Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery. World J Gastrointest Surg 2024; 16(1): 76-84