腹腔镜直肠癌根治术后并发症影响因素分析

Analysis of postoperative complications and their related factors after laparoscopic radical surgery in rectal cancer

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 (all P<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.