腹腔镜胃癌切除术后并发症发生的相关危险因素分析

Analysis of risk factors of complications in laparoscopic resection of gastric cancer after operation

目的:分析腹腔镜胃癌切除术后并发症发生的相关危险因素,为预防和控制并发症提出对策。方法:对我院2011年10月—2012年12月收治的78例行腹腔镜胃癌切除术后出现并发症的患者进行回顾分析,探讨其并发症发生的相关危险因素。结果:对比78例腹腔镜胃癌切除术后并发症患者一般资料发现,年龄、肿瘤直径及术前营养状况存在统计学差异;多因素回归分析发现,年龄≥55岁、肿瘤直径≥5cm、贫血及低蛋白血症均是影响腹腔镜胃癌切除术后并发症发生的独立危险因素(P<0.05)。结论:年龄≥55岁、肿瘤直径≥5 cm、贫血及低蛋白血症均是影响腹腔镜胃癌切除术后并发症发生的独立危险因素,应严格手术操作、行营养支持并积极处理原发疾病,以降低患者并发症风险,改善预后。

Objective： To analyze the risk of complications of laparoscopic resection of gastric cancer postoperative factors, for the prevention and control countermeasures and occurrence. Methods： 78 cases of laparoscopic resection of gastric cancer after operation were retrospectively analyzed patients with complications, and to analyze the related risk factors of the complications. Results： The complications of patients with general information of 78 cases laparoscopic gastric resection, age, tumor size, preoperative nutritional status was statistically significant difference; multiple regression analysis found that, 55 years of age or older, tumor diameter greater than or equal to 5 cm, anemia and hypoproteinemia were independent risk factors of laparoscopic gastric resection complications （P〈0.05）. Conclusion： 55 years of age or older, tumor diameter greater than or equal to 5 cm, anemia and hypoproteinemia were independent risk of laparoscopic resection of gastric cancer postoperative complications factors, should strict operation, nutritional support and active treatment of primary disease, in order to reduce the risk of complications in patients, improve the prognosis.