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Retrospective Study
Copyright: ©Author(s) 2026.
World J Gastrointest Surg. Sep 27, 2026; 18(9): 119698
Published online Sep 27, 2026. doi: 10.4240/wjgs.119698
Table 1 Comparison of baseline data between the two groups, n (%)/mean ± SD
Item
Conventional group (n = 40)
Optimized group (n = 40)
t/χ2 value
P value
Genderχ2 = 0.2100.651
Male22 (55.00)24 (60.00)
Female18 (45.00)16 (40.00)
Age (years)52.32 ± 9.7550.84 ± 9.45t = 0.7080.481
BMI (kg/m2)22.54 ± 2.8623.18 ± 3.07t = -0.9850.327
ASA classificationχ2 = 0.5210.472
Class I28 (70.00)25 (62.50)
Class II12 (30.00)15 (37.50)
Procedure typeχ2 = 0.6810.712
Gastroscopy12 (30.00)10 (25.00)
Colonoscopy10 (25.00)13 (32.50)
Combined endoscopy18 (45.00)17 (42.50)
Propofol dosage (mg)180.55 ± 45.34175.89 ± 48.65t = 0.4560.649
Remifentanil dosage (μg)105.24 ± 25.76101.86 ± 28.43t = 0.5680.571
Procedure duration (minute)25.82 ± 8.2524.37 ± 7.94t = 0.8120.419
Table 2 Comparison of gastrointestinal function recovery time between two groups (hour), mean ± SD
Group
n
Time to first flatus (hour)
Time to first defecation (hour)
Time to bowel sound recovery (hour)
Conventional group408.54 ± 2.6328.36 ± 7.975.78 ± 1.69
Optimized group405.25 ± 1.8221.49 ± 6.553.78 ± 1.44
t value-6.7034.3425.832
P value-< 0.001< 0.001< 0.001
Table 3 Comparison of postoperative abdominal distension scores between two groups, mean ± SD
Group
n
2 hours postop
6 hours postop
12 hours postop
24 hours postop
Conventional group403.11 ± 1.224.54 ± 1.463.84 ± 1.321.57 ± 0.86
Optimized group402.93 ± 1.153.37 ± 1.122.65 ± 1.081.35 ± 0.79
t value-0.6944.0804.4941.207
P value-0.490< 0.001< 0.0010.231
Main effect of “time”F = 85.632, P < 0.001----
Main effect of “group”F = 18.945, P < 0.001----
“Time × group” interactionF = 9.287, P < 0.001----
Table 4 Comparison of postoperative abdominal pain visual analog scale scores between two groups, mean ± SD
Group
n
2 hours postop
6 hours postop
12 hours postop
24 hours postop
Conventional group402.02 ± 0.932.85 ± 1.232.22 ± 1.060.89 ± 0.50
Optimized group401.86 ± 0.821.94 ± 0.811.43 ± 0.750.71 ± 0.42
t value-0.8244.0743.8721.788
P value-0.412< 0.001< 0.0010.077
Main effect of “time”F = 64.118, P < 0.001----
Main effect of “group”F = 14.326, P < 0.001----
“Time × group” interactionF = 5.046, P = 0.002----
Table 5 Comparison of complication incidence rates between two groups, n (%)
Group
n
Nausea
Vomiting
Dizziness
Other
Total incidence
Conventional group405 (12.50)2 (5.00)3 (7.50)1 (2.50)11 (27.50)
Optimized group404 (10.00)1 (2.50)2 (5.00)0 (0.00)7 (17.50)
χ2 value-----1.195
P value-----0.274
Table 6 Comparison of patient satisfaction between two groups, n (%)
Group
n
Very satisfied
Satisfied
Dissatisfied
Total satisfaction rate
Conventional group4018 (45.00)16 (40.00)6 (15.00)34 (85.00)
Optimized group4027 (67.50)12 (30.00)1 (2.50)39 (97.50)
χ2 value----4.320
P value----0.038


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