ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2026
Factors associated with postoperative ileus after laparoscopic radical resection for colorectal cancer and development and internal validation of a postoperative risk-stratification nomogram.
Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionPostoperative ileus (POI) is a common complication after colorectal surgery, delaying recovery and prolonging hospitalization.
aimWe aimed to identify factors associated with POI after laparoscopic radical resection for colorectal cancer and to develop and internally validate a postoperative risk-stratification nomogram. MATERIALS AND
methodsThis single-center retrospective study included 300 patients undergoing laparoscopic radical resection for colorectal cancer between January 2021 and March 2025. The patients were randomly assigned to the development (n = 210) and validation (n = 90) cohorts. Multivariable logistic regression identified factors independently associated with POI. Model performance was evaluated using receiver operating characteristic, calibration, and decision curves.
resultsPOI occurred in 23.8% and 22.2% of the development and validation cohorts, respectively. Previous abdominal surgery (odds ratio [OR], 3.031; 95% CI, 1.226-7.493;
conclusionsThe developed nomogram showed acceptable internal performance and may support early postoperative POI risk reassessment and individualized management. External validation is required before broader clinical application.
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