中国普外基础与临床杂志

中国普外基础与临床杂志

腹腔镜直肠癌根治术后并发症影响因素分析

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目的 分析腹腔镜直肠癌根治术后的并发症及其相关影响因素。 方法 回顾性分析 2013 年 2 月至 2016 年 12 月期间符合纳入标准的 343 例接受腹腔镜直肠癌根治术患者的临床病理资料,分析术后并发症发生情况并用 logisitic 回归分析其危险因素。 结果 343 例接受腹腔镜直肠癌根治术患者中 97 例(28.3%)术后发生了并发症。单因素分析结果显示,患者的年龄、性别、体质量指数、术前贫血、术前合并疾病、肿瘤位置、肿瘤直径、手术时间及手术者经验与腹腔镜直肠癌根治术后并发症的发生有关(均 P<0.050);logisitic 回归分析结果显示,患者的年龄、性别、体质量指数、术前贫血、术前合并疾病、肿瘤位置、手术时间和手术者经验是术后并发症发生的独立危险因素(均P<0.050)。 结论 腹腔镜直肠癌根治术后并发症发生的独立危险因素为患者的年龄、性别、体质量指数、术前贫血、术前合并疾病、肿瘤位置、手术时间和手术者经验。

Objective To investigate factors associated with postoperative complications after laparoscopic radical surgery in rectal cancer. Methods The clinical data of patients with rectal cancer performed by the laparoscopic radical resection from February 2013 to December 2016 were analyzed retrospectively. All the data were analyzed by the t test, chi-square test or logistic regression analysis. Results There were 343 patients with rectal cancer performed by the laparoscopic radical resection. The postoperative complications occurred in the 97 (28.3%) patients. The result of univariate analysis showed that the postoperative complications rate was associated with the gender, age, body mass index, preoperative anemia, preoperative comorbidity, location and diameter of tumor, operative time, and surgeon experience (all P<0.050). The results of logistic regression analysis revealed that the gender, age, body mass index, preoperative anemia, preoperative comorbidity, location of tumor, operative time, and surgeon experience were the independent risk factors for the postoperative complications (allP<0.050). Conclusion Gender, age, body mass index, preoperative anemia, preoperative comorbidity, location of tumor, operative time, and surgeon experience are independent risk factors for postoperative complications in laparoscopic radical rectal surgery for rectal cancer.

关键词: 直肠癌; 腹腔镜; 根治性手术; 术后并发症

Key words: rectal cancer; laparoscope; radical surgery; postoperative complications

引用本文: 刘作良, 谢雪虹, 田洪鹏, 李利发, 侯华芳, 张广军, 周彤. 腹腔镜直肠癌根治术后并发症影响因素分析. 中国普外基础与临床杂志, 2018, 25(12): 1482-1486. doi: 10.7507/1007-9424.201804087 复制

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