腹腔镜下直肠癌根治术术后并发症发生的相关因素研究

Study of Related Factors of Postoperative Complications in Rectal Cancer Patients after Laparoscopic Radical Resection

目的探讨腹腔镜下直肠癌根治术患者术后并发症发生的相关因素。方法回顾性分析84例于腹腔镜下行直肠癌根治手术的患者的临床资料。结果 84例患者术后并发症发生率为17.86%,发生率最高的是肺部感染(7.14%),其次是造口旁疝(3.57%)、伤口感染(3.57%);术前伴肺部疾病(P=0.028)、手术时间>170 min(P=0.002)和术中出血量≥300 ml(P=0.013)为患者术后并发症发生的危险因素,危险程度由高到低为手术时间>170 min(OR=15.07,P<0.001)、术前伴发肺部疾病(OR=2.933,P=0.005)、术中出血量≥300 ml(OR=2.74,P=0.004)。结论术前伴发肺部疾病、手术时间>170 min和术中出血量≥300 ml为患者术后并发症发生的危险因素。

Objective To study the related factors of postoperative complications in patients undergoing laparoscopic radical operation of rectal cancer. Methods Clinical data of 84 patients undergoing laparoscopic radical operation of rectal cancer were analyzed retrospectively. Results Incidence rate of postoperative complications of 84 patients were 17. 86%,the highest incidence was pulmonary infection( 7. 14%),followed by parastomal hernia( 3. 57%),and wound infection( 3. 57%); Preoperative pulmonary disease( P = 0. 028),operative time > 170 minutes( P = 0. 002) and intraoperative blood loss≥300 ml( P =0. 013) were associated with postoperative complications in laparoscopic-assisted colorectal cancer surgery. And from high to low,risk degree were operative time > 170 minutes( OR = 15. 07,P < 0. 001),preoperative pulmonary disease( OR = 2. 933,P = 0.005),and intraoperative blood loss≥300 mL( OR = 2. 74,P = 0. 004). Conclusion Preoperative pulmonary disease,intraoperative blood loss and postoperative time are found to be the independent risk factors of complications for laparoscopic surgery in colorectal cancer.