Post-Operative Ileus after Colonic Cancer Resection: Comparison between Different Surgical Approaches

Summary This study aims to verify if the duration of postoperative ileus (POI), in patients undergoing colon resection for cancer is related to the surgical approach used (open or laparoscopic) or rather to the manipulation of bowel loops. Ninety patients were randomized in three groups with different surgical approaches: open technique with extensive manipulation of the intestinal loops, open technique with minimal manipulation and laparoscopic technique. Return of bowel functions was investigated by: detection of bowel sounds, passage of flatus and passage of stool. Resolution of POI in patients treated with laparoscopic technique and in those treated with open technique with minimal manipulation is similar and it happen earlier in comparison with patients treated with open technique with extensive manipulation.