腹腔镜辅助D_2根治术治疗进展期胃癌术后并发症危险因素的Logistic分析  

Logistic analysis of risky factors related to complications after laparoscopic D_2 gastrectomy for advanced gastric cancer

作　　者：王士杰[1] 王世斌[1] 费阳[1] 

机构地区：[1]中国人民解放军总医院第一附属医院普通外科,北京100037

出　　处：《中国现代普通外科进展》2014年第5期356-360,共5页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:分析腹腔镜辅助D2根治术治疗进展期胃癌术后并发症发生的危险因素。方法:收集2011年2月—2013年2月以腹腔镜辅助D2根治术治疗的进展期胃癌患者90例,通过Logistic回归模型分析术后发生并发症的相关危险因素。结果:90例患者均顺利完成手术,共发生Ⅱ级及其以上系统并发症21例次(23.3%),发生Ⅱ级及其以上局部并发症14例次(15.6%),Logistic分析发现,系统并发症的发生与年龄及伴随疾病的数量有关,局部并发症的发生与年龄、重建方式及是否行术前新辅助化疗有关。结论:腹腔镜辅助D2根治术是治疗进展期胃癌的手段之一,但应注意控制年龄、伴随疾病、重建方式、术前新辅助化疗等并发症危险因素,以保障手术安全及术后恢复。Objective： To analyse risky factors of postoperative complications after laparoscopic D2 gastrectomy for advanced gastric cancer. Methods： There were 90 patients with advanced gastric cancer undergoing laparoscopic D2 gastrectomy from Feb 2011 to Feb 2013. Logistic analysis were used to identify risky factors related to postoperative complications, Results： All of D2 radical procedures were performed successfully. 21 systemic complications in grade Ⅱ or higher, and 14 local complications in grade Ⅱ or higher occurred. Logistic analysis identified that age and associated deseases are risky factors related to systemic complications, age, type of reconstruction and undergoing neoadjuvant chemotherapy or not, were risky factors related to local complications. Conclusions： Laparoscopic D2 gastrectomy is a possible treatment for advanced gastric cancer, however risky factors related to postoperative complications should be controlled to ensure the security of these procedures.

关 键 词：胃肿瘤 腹腔镜 胃癌根治术 并发症 LOGISTIC分析 

分 类 号：R735.2[医药卫生—肿瘤]