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Comparison of Postoperative Gastrointestinal Motility of Sugammadex and Neostigmine in Patients Undergoing Robotic Thyroidectomy: A Retrospective Study

Authors
 Min Jeong Lee  ;  Duk-Hee Chun  ;  Hee Jung Kong  ;  Hye Jung Shin  ;  Sunmo Yang  ;  Na Young Kim 
Citation
 JOURNAL OF CLINICAL MEDICINE, Vol.11(10) : 2930, 2022-05 
Journal Title
JOURNAL OF CLINICAL MEDICINE
Issue Date
2022-05
Keywords
neostigmine/glycopyrrolate ; postoperative bowel movement ; retrospective study ; robotic thyroidectomy ; sugammadex
Abstract
Postoperative bowel dysfunction poses difficulty to patients during their recovery from surgery, and reversal agents may affect bowel function. This study aimed to investigate and compare the effects of sugammadex and a neostigmine/glycopyrrolate combination on postoperative bowel movement in patients undergoing robotic thyroidectomy. The electronic medical records of 122 patients, who underwent robotic thyroidectomy between March 2018 and December 2020, were retrospectively reviewed. Demographic, clinical, and laboratory findings and the first gas-passing time after surgery were assessed. The number of patients with a first gas emission time over 24 h was significantly higher in the neostigmine group than in the sugammadex group (p = 0.008). Multivariate logistic regression analysis indicated that sugammadex was a prognostic factor for the first gas-passing time within 24 h (odds ratio = 4.60, 95% confidence interval 1.47-14.36, p = 0.005). Although postoperative bowel motility, based on the first gas emission time, was comparable, the number of patients with a first gas emission time within 24 h was significantly higher in the sugammadex group than in the neostigmine group. This shows that the use of sugammadex did not affect the delayed recovery of postoperative bowel motility after robotic thyroidectomy.
Files in This Item:
T202201887.pdf Download
DOI
10.3390/jcm11102930
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kong, Hee Jung(공희정)
Kim, Na Young(김나영) ORCID logo https://orcid.org/0000-0003-3685-2005
Lee, Min Jeong(이민정) ORCID logo https://orcid.org/0000-0002-2712-3516
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188697
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