Effect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy

Abstract This study aimed to investigate the effect of intraoperative fluid volume on the postoperative ileus (POI) recovery period. A retrospective review of the Korean robot-assisted radical cystectomy database identified 718 patients who underwent robot-assisted radical cystectomy (RARC). Regress...

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Autores principales:	Ji Sung Shim, Tae Il Noh, Ja Hyeon Ku, Sangchul Lee, Tae Gyun Kwon, Tae-Hwan Kim, Seung Hyun Jeon, Sang Hyup Lee, Jong Kil Nam, Wan Seok Kim, Byong Chang Jeong, Ji Youl Lee, Sung Hoo Hong, Koon Ho Rha, Woong Kyu Han, Won Sik Ham, Young Goo Lee, Yong Seong Lee, Sung Yul Park, Young Eun Yoon, Sung Gu Kang, Jong Jin Oh, Seok Ho Kang, Korean Robot Assisted Radical Cystectomy (KORARC) Study Group
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/333da23f52ad4c13a57d7f3b1d4b1c25
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spelling	oai:doaj.org-article:333da23f52ad4c13a57d7f3b1d4b1c252021-12-02T15:45:32ZEffect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy10.1038/s41598-021-89806-z2045-2322https://doaj.org/article/333da23f52ad4c13a57d7f3b1d4b1c252021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89806-zhttps://doaj.org/toc/2045-2322Abstract This study aimed to investigate the effect of intraoperative fluid volume on the postoperative ileus (POI) recovery period. A retrospective review of the Korean robot-assisted radical cystectomy database identified 718 patients who underwent robot-assisted radical cystectomy (RARC). Regression analyses were performed to identify the associations between the amount of intraoperative fluid administration (crystalloid/colloid/total), POI period (time to flatus/bowel movements), and length of hospital stay (LOS) after adjusting for covariates. In addition, we analyzed the risk factors for gastrointestinal complications and prolonged POI using a logistic regression model. An increasing volume of the administered crystalloid/total fluid was associated with prolonged POI (crystalloid R2 = 0.0725 and P < 0.0001; total amount R2 = 0.0812 and P < 0.0001), and the total fluid volume was positively associated with the LOS (R2 = 0.099 and P < 0.0001). The crystalloid amount was a risk factor for prolonged POI (P < 0.001; odds ratio, 1.361; 95% confidence interval, 1.133–1.641; P < 0.001). In the context of RARC, increased intravenous fluids are associated with prolonged POI and longer LOS.Ji Sung ShimTae Il NohJa Hyeon KuSangchul LeeTae Gyun KwonTae-Hwan KimSeung Hyun JeonSang Hyup LeeJong Kil NamWan Seok KimByong Chang JeongJi Youl LeeSung Hoo HongKoon Ho RhaWoong Kyu HanWon Sik HamYoung Goo LeeYong Seong LeeSung Yul ParkYoung Eun YoonSung Gu KangJong Jin OhSeok Ho KangKorean Robot Assisted Radical Cystectomy (KORARC) Study GroupNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ji Sung Shim Tae Il Noh Ja Hyeon Ku Sangchul Lee Tae Gyun Kwon Tae-Hwan Kim Seung Hyun Jeon Sang Hyup Lee Jong Kil Nam Wan Seok Kim Byong Chang Jeong Ji Youl Lee Sung Hoo Hong Koon Ho Rha Woong Kyu Han Won Sik Ham Young Goo Lee Yong Seong Lee Sung Yul Park Young Eun Yoon Sung Gu Kang Jong Jin Oh Seok Ho Kang Korean Robot Assisted Radical Cystectomy (KORARC) Study Group Effect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy
description	Abstract This study aimed to investigate the effect of intraoperative fluid volume on the postoperative ileus (POI) recovery period. A retrospective review of the Korean robot-assisted radical cystectomy database identified 718 patients who underwent robot-assisted radical cystectomy (RARC). Regression analyses were performed to identify the associations between the amount of intraoperative fluid administration (crystalloid/colloid/total), POI period (time to flatus/bowel movements), and length of hospital stay (LOS) after adjusting for covariates. In addition, we analyzed the risk factors for gastrointestinal complications and prolonged POI using a logistic regression model. An increasing volume of the administered crystalloid/total fluid was associated with prolonged POI (crystalloid R2 = 0.0725 and P < 0.0001; total amount R2 = 0.0812 and P < 0.0001), and the total fluid volume was positively associated with the LOS (R2 = 0.099 and P < 0.0001). The crystalloid amount was a risk factor for prolonged POI (P < 0.001; odds ratio, 1.361; 95% confidence interval, 1.133–1.641; P < 0.001). In the context of RARC, increased intravenous fluids are associated with prolonged POI and longer LOS.
format	article
author	Ji Sung Shim Tae Il Noh Ja Hyeon Ku Sangchul Lee Tae Gyun Kwon Tae-Hwan Kim Seung Hyun Jeon Sang Hyup Lee Jong Kil Nam Wan Seok Kim Byong Chang Jeong Ji Youl Lee Sung Hoo Hong Koon Ho Rha Woong Kyu Han Won Sik Ham Young Goo Lee Yong Seong Lee Sung Yul Park Young Eun Yoon Sung Gu Kang Jong Jin Oh Seok Ho Kang Korean Robot Assisted Radical Cystectomy (KORARC) Study Group
author_facet	Ji Sung Shim Tae Il Noh Ja Hyeon Ku Sangchul Lee Tae Gyun Kwon Tae-Hwan Kim Seung Hyun Jeon Sang Hyup Lee Jong Kil Nam Wan Seok Kim Byong Chang Jeong Ji Youl Lee Sung Hoo Hong Koon Ho Rha Woong Kyu Han Won Sik Ham Young Goo Lee Yong Seong Lee Sung Yul Park Young Eun Yoon Sung Gu Kang Jong Jin Oh Seok Ho Kang Korean Robot Assisted Radical Cystectomy (KORARC) Study Group
author_sort	Ji Sung Shim
title	Effect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy
title_short	Effect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy
title_full	Effect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy
title_fullStr	Effect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy
title_full_unstemmed	Effect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy
title_sort	effect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/333da23f52ad4c13a57d7f3b1d4b1c25
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Effect of intraoperative fluid volume on postoperative ileus after robot-assisted radical cystectomy

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