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 (=0.04), multifocal CRC (=0.03), intraoperative transfusion (=0.005), postoperative transfusion (=0.035), left-sided hemicolectomy (=0.01), colostomy (=0.02), loop transversostomy (=0.003), loop colostomy (=0.02). According to logistic regression, independent risk factors of POI were male sex (=0.015), left-sided hemicolectomy (=0.004), intraoperative transfusion =0.002), loop transversostomy (=0.019).
Conclusion: Independent risk factors of POI in elective colorectal cancer surgery were male sex, left-sided hemicolectomy, intraoperative transfusion and loop transversostomy.
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