食管癌患者电视胸腔镜食管切除+管状胃重建术后并发症发生的影响因素分析  

Analysis of influencing factors of complications after video-assisted thoracoscopic esophagectomy and tubular stomach reconstruction in patients with esophageal cancer

作　　者：胡举[1] 王建军 李林倩[1] HU Ju;WANG Jianjun;LI Linqian(Department of Thoracic Surgery,the Second Affiliated Hospital of He’nan University of Science and Technology,Luoyang 471000,He’nan,China;Department of Thoracic Surgery,He’nan Provincial People’s Hospital,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南科技大学第二附属医院胸外科,河南洛阳471000 [2]河南省人民医院胸外科,郑州450000

出　　处：《癌症进展》2025年第4期398-401,共4页Oncology Progress

摘　　要：目的探讨食管癌患者电视胸腔镜食管切除+管状胃重建术后并发症发生情况,并分析其影响因素。方法选取150例行电视胸腔镜食管切除+管状胃重建术的食管癌患者,根据术后30天是否发生并发症分为发生组和未发生组。收集患者的临床资料,采用Logistic回归模型分析食管癌患者电视胸腔镜食管切除+管状胃重建术后并发症发生的影响因素。结果150例食管癌患者中共有56例发生并发症,占比37.33%。发生组患者合并糖尿病、消瘦、手术时间≥3 h及有呼吸系统疾病史的患者比例均高于未发生组,差异均有统计学意义(P﹤0.05)。多因素Logistic回归分析结果显示,糖尿病、消瘦、手术时间≥3 h及呼吸系统疾病史均是食管癌患者电视胸腔镜食管切除+管状胃重建术后发生并发症的危险因素(P﹤0.05)。结论食管癌患者电视胸腔镜食管切除+管状胃重建术后并发症发生风险较高,糖尿病、消瘦、手术时间≥3 h及呼吸系统疾病史均是并发症发生的危险因素。Objective To investigate the incidence of complications after video-assisted thoracoscopic esophagectomy and tubular stomach reconstruction in patients with esophageal cancer and to analyze the influencing factors.Method A total of 150 patients with esophageal cancer who underwent video-assisted thoracoscopic esophagectomy and tubular stomach reconstruction were selected and divided into occurrence group and non-occurrence group according to whether complications occurred 30 days after surgery.The clinical data of patients were collected,and Logistic regression model was used to analyze the influencing factors of complications after video-assisted thoracoscopic esophagectomy and tubular stomach reconstruction in patients with esophageal cancer.Result Complications occurred in 56 of 150 patients with esophageal cancer,accounting for 37.33%.The proportion of patients with diabetes mellitus,emaciation,operation time≥3 h and history of respiratory diseases in the occurrence group were higher than those in the non-occurrence group,the differences were statistically significant(P<0.05).Multivariate Logistic regression analysis showed that diabetes mellitus,emaciation,operation time≥3 h and history of respiratory diseases were risk factors for complications after video-assisted thoracoscopic esophagotomy and tubular stomach reconstruction in patients with esophageal cancer(P<0.05).Conclusion Patients with esophageal cancer have a higher risk of complications after video-assisted thoracoscopic esophagectomy and tubular stomach reconstruction.Diabetes mellitus,emaciation,operation time≥3 h and history of respiratory diseases are risk factors for complications.

关 键 词：食管癌 电视胸腔镜食管切除 管状胃重建术 并发症 

分 类 号：R735.2[医药卫生—肿瘤]