PDF(Pubmed)
Abstract：
Postoperative gastrointestinal tract (GIT) dysfunction (POGD) and postoperative ileus (POI) are common symptoms resulting from small or large bowel surgery associated with extended hospitalizations, increase risk of infections and billions of dollars in health care costs. Open surgery is associated with higher gut surgical trauma / manipulation and worse outcomes compared to minimal invasive surgery. Robotic Surgery may offer added benefit to Colon Enhanced Recovery After Surgery (CERAS) protocols but do not solve the problem. Ultimately, a better understanding of the pathogenic mechanisms of POI and POGD can lead to prophylaxis and enhanced recovery after surgery. The impact of High Pressure Pneumoperitoneum and gut surgical manipulation on GIT dysfunction deserve further investigation.
摘要：
术后胃肠道（GIT）功能障碍（POGD）和术后肠梗阻（POI）是与长期住院相关的小肠或大肠手术引起的常见症状，增加感染风险和数十亿美元的医疗保健费用。与微创手术相比，开放手术与更高的肠道手术创伤/操作和更差的结果相关。机器人手术可以为结肠增强手术后恢复（CERAS）协议提供额外的好处，但不能解决问题。最终,更好地了解POI和POGD的致病机制可以导致预防和增强术后恢复。高压气腹和肠道手术对GIT功能障碍的影响值得进一步研究。
