腹腔镜辅助远端胃癌根治术后并发症发生的相关危险因素  

Risk Factors Related to Complications After Laparoscopic-assisted Radical Gastrectomy for Distal Gastric Cancer

作　　者：肖开提·依力哈尔 阿依努尔·亚森 Shewket·Ilhar;Ainuur·Yassen(Department of Gastrointestinal Surgery,the Second Intensive Care Unit,Kashgar 844099,Xinjiang,China;Department of Gastrointestinal Surgery,the First People's Hospital of Kashgar,Kashgar 844099,Xinjiang,China)

机构地区：[1]喀什地区第一人民医院胃肠外科,新疆喀什844099 [2]喀什地区第一人民医院重症医学二科,新疆喀什844099

出　　处：《医学信息》2024年第17期85-88,共4页Journal of Medical Information

摘　　要：目的研究腹腔镜辅助远端胃癌根治术(LADG)术后并发症发生的相关危险因素。方法以2013年6月-2023年6月喀什地区第一人民医院行LADG治疗的150例患者为研究对象,依据其术后并发症情况分为并发症组(61例)与无并发症组(89例),收集其临床资料,通过单因素及多因素Logistic分析统计LADG患者术后并发症发生的相关危险因素。结果单因素分析显示,并发症组与无并发症组年龄、BMI、肿瘤直径、手术时间、术中出血量、消化道重建方式、术前合并症比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄≥60岁、术中出血量≥200 ml、BillroNhⅡ式吻合术、术前合并症是导致LADG术后并发症发生的独立危险因素(P<0.05)。结论年龄、术中出血量、消化道重建方式及术前合并症均是导致LADG术后并发症发生的相关危险因素。Objective To study the risk factors of complications after laparoscopic-assisted distal gastrectomy(LADG).Methods A total of 150 patients who underwent LADG in the First People's Hospital of Kashgar from June 2013 to June 2023 were divided into complication group(61 patients)and non-complication group(89 patients)according to their postoperative complications.The clinical data were collected,and the related risk factors of postoperative complications in patients with LADG were analyzed by univariate and multivariate logistic analysis.Results Univariate analysis showed that there were significant differences in age,BMI,tumor diameter,operation time,intraoperative blood loss,digestive tract reconstruction method and preoperative complications between the complication group and the non-complication group(P<0.05).Multivariate logistic regression analysis showed that age≥60 years old,intraoperative blood loss≥200 ml,BillroNh II anastomosis and preoperative complications were independent risk factors for postoperative complications of LADG(P<0.05).Conclusion Age,intraoperative blood loss,digestive tract reconstruction and preoperative complications are all related risk factors for postoperative complications of LADG.

关 键 词：腹腔镜辅助远端胃癌根治术 术后并发症 消化道重建方式 术中出血量 BillroNhⅡ式吻合术 

分 类 号：R735.2[医药卫生—肿瘤]