ArticleWorld journal of surgical oncology2023
Nomogram for predicting prolonged postoperative ileus after laparoscopic low anterior resection for rectal cancer.
Article in World journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Robotic versus laparoscopic rectal resection: impact on primary postoperative ileus and the role of intraoperative fluid balance: a propensity score-matched cohort study.Surgical endoscopy · 2026Article
- Article
- Manual repositioning of the small bowel and omentum prevents early postoperative small bowel obstruction after laparoscopic colorectal surgery: a propensity score-matched study.Surgical endoscopy · 2025Article
- Development and validation of survival prediction nomograms for patients with early-stage rectal cancer: a population-based study.Translational cancer research · 2025Article
- Preoperative malnutrition is a risk factor for prolonged postoperative ileus for patients undergoing gastrointestinal surgery.Frontiers in nutrition · 2025Article
- Personalized risk prediction for prolonged ileus after minimally invasive colorectal cancer surgery: in-depth risk factor analysis and model development.International journal of colorectal disease · 2024Article
- Artificial intelligence algorithms for predicting post-operative ileus after laparoscopic surgery.Heliyon · 2024Article
- Development and validation of a nomogram to predict the risk factors of major complications after radical rectal cancer surgery.Frontiers in oncology · 2024Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundProlonged postoperative ileus (PPOI) is a common complication after colorectal surgery that increases patient discomfort, hospital stay, and financial burden. However, predictive tools to assess the risk of PPOI in patients undergoing laparoscopic low anterior resection have not been developed. Thus, the purpose of this study was to develop a nomogram to predict PPOI after laparoscopic low anterior resection for rectal cancer.
methodsA total of 548 consecutive patients who underwent laparoscopic low anterior resection for mid-low rectal cancer at a single tertiary medical center were retrospectively enrolled between January 2019 and January 2023. Univariate and multivariate logistic regression analysis was performed to analyze potential predictors of PPOI. The nomogram was constructed using the filtered variables and internally verified by bootstrap resampling. Model performance was evaluated by receiver operating characteristic curve and calibration curve, and the clinical usefulness was evaluated by the decision curve.
resultsAmong 548 consecutive patients, 72 patients (13.1%) presented with PPOI. Multivariate logistic analysis showed that advantage age, hypoalbuminemia, high surgical difficulty, and postoperative use of opioid analgesic were independent prognostic factors for PPOI. These variables were used to construct the nomogram model to predict PPOI. Internal validation, conducted through bootstrap resampling, confirmed the great discrimination of the nomogram with an area under the curve of 0.738 (95%CI 0.736-0.741).
conclusionsWe created a novel nomogram for predicting PPOI after laparoscopic low anterior resection. This nomogram can assist surgeons in identifying patients at a heightened risk of PPOI.
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