Namikawa Tsutomu, Yamaguchi Sachi, Fujisawa Kazune, Ogawa Maho, Iwabu Jun, Munekage Masaya, Uemura Sunao, Maeda Hiromichi, Kitagawa Hiroyuki, Kobayashi Michiya, Matsuda Kenichi, Hanazaki Kazuhiro
Department of Surgery Kochi Medical School Nankoku Kochi Japan.
Department of Human Health and Medical Sciences Kochi Medical School Nankoku Kochi Japan.
JGH Open. 2021 Feb 26;5(4):454-458. doi: 10.1002/jgh3.12515. eCollection 2021 Apr.
Objective measurements are not available for determining bowel sounds. The present study sought to evaluate the efficacy of a novel bowel sound monitoring system for perioperative use in patients undergoing gastric surgery.
The study enrolled 14 patients who underwent surgery for gastric cancer at Kochi Medical School from 2017 to 2018. Preoperative and postoperative bowel sounds were recorded using a newly developed real-time analysis system in the operating theater and recovery room. Clinical information and bowel sound count data were obtained to compare preoperative and postoperative measures.
The median preoperative and postoperative bowel sound counts across all patients were 1.4 and 2.5 counts per minute (cpm), respectively. In patients who underwent laparoscopic gastrectomy, the postoperative bowel sound count was significantly higher than that recorded preoperatively (2.3 vs. 1.6 cpm, = 0.005). The findings also revealed a significant negative correlation between postoperative bowel sound count and operation time ( = -0.714, = 0.003).
The real-time bowel sound analysis system tested herein presents a promising diagnostic tool to quantitatively evaluate bowel movements associated with surgery. Our results suggested a need for shorter operation times for gastric procedures with respect to peristalsis recovery and supported the use of minimally invasive surgery.
目前尚无客观测量方法来确定肠鸣音。本研究旨在评估一种新型肠鸣音监测系统在胃癌手术患者围手术期的应用效果。
本研究纳入了2017年至2018年在高知医科大学接受胃癌手术的14例患者。在手术室和恢复室使用新开发的实时分析系统记录术前和术后的肠鸣音。获取临床信息和肠鸣音计数数据以比较术前和术后的测量结果。
所有患者术前和术后肠鸣音计数的中位数分别为每分钟1.4次和2.5次（cpm）。接受腹腔镜胃切除术的患者术后肠鸣音计数显著高于术前记录（2.3 vs. 1.6 cpm，P = 0.005）。研究结果还显示术后肠鸣音计数与手术时间之间存在显著负相关（r = -0.714，P = 0.003）。
本文测试的实时肠鸣音分析系统是一种有前景的诊断工具，可用于定量评估与手术相关的肠道蠕动。我们的结果表明，就蠕动恢复而言，胃癌手术需要更短的手术时间，并支持使用微创手术。
