{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T13:47:08Z","timestamp":1758635228833},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,11,2]],"date-time":"2016-11-02T00:00:00Z","timestamp":1478044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Passage of flatus and stool represents a key milestone in recovery after colonic resections. Colorectal surgeons may hold varied expectations regarding recovery rates after left\u2010 versus right\u2010sided colectomies, but there is currently little evidence to inform post\u2010operative care. This study prospectively compared gut function recovery after left\u2010 versus right\u2010sided resections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective data were analysed from 94 consecutive patients undergoing elective colorectal resections with primary anastomosis at Auckland City Hospital. Patients having ileostomies were excluded. Primary analysis compared time to first bowel motion between left\u2010 versus right\u2010sided resections, excluding patients who developed prolonged post\u2010operative ileus, while secondary analyses compared length of stay, rates of prolonged ileus and other complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis included 42 patients with left\u2010sided and 52 with right\u2010sided resections. No significant differences were observed for complications (<jats:italic>P<\/jats:italic>\u2009=\u20090.1), length of stay (<jats:italic>P<\/jats:italic>\u2009=\u20090.9) or development of prolonged ileus (<jats:italic>P<\/jats:italic>\u2009=\u20090.2). Rate of return of bowel function was faster in patients after left\u2010sided resections (median 2.5 versus 4 days; <jats:italic>P<\/jats:italic>\u2009=\u20090.03 by Log\u2010rank (Mantel\u2013Cox) test), when patients with prolonged post\u2010operative ileus were excluded. An association was also identified between length of bowel resected and time to recovery of bowel function for right\u2010sided (<jats:italic>P<\/jats:italic>\u2009=\u20090.02) but not left\u2010sided resections (<jats:italic>P<\/jats:italic>\u2009=\u20090.9).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study shows that for patients who do not progress to prolonged ileus, those with left\u2010sided resections experience faster return of bowel function when compared with those having right\u2010sided resections. The reason for this finding is currently unknown and deserves further attention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13823","type":"journal-article","created":{"date-parts":[[2016,11,2]],"date-time":"2016-11-02T23:38:17Z","timestamp":1478129897000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Prospective comparison of return of bowel function after left versus right colectomy"],"prefix":"10.1111","volume":"88","author":[{"given":"Lance","family":"Yuan","sequence":"first","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"O'Grady","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tony","family":"Milne","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebekah","family":"Jaung","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryash","family":"Vather","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian P.","family":"Bissett","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-013-2148-y"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2009.15.6.485"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.09.028"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.1205"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1177\/000313480707301002","article-title":"Outcomes of right and left colectomy at academic centers","volume":"73","author":"Hinojosa MW","year":"2007","journal-title":"Am. 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