腹腔镜肝切除术治疗肝脏恶性肿瘤手术并发症的危险因素分析

Risk Factors for Complications of Laparoscopic Hepatectomy for Liver Cancer

目的观察腹腔镜肝切除术治疗肝脏恶性肿瘤手术并发症的危险因素。方法收治腹腔镜肝切除术治疗的肝脏恶性肿瘤患者总计133例,根据是否发生术后并发症进行分组,将其中术后发生并发症的患者36例设为并发症组,而另97例未发生并发症患者设为安全组。分析两组患者基本资料、手术资料等,获得诱发并发症发生的危险因素。结果术前LSM、ICG R15是患者术后并发症发生的影响因素,差异(P<0.05)有意义。术中出血量、肝纤维化Ishake评分>3分是患者术后并发症发生的影响因素,差异(P<0.05)有意义。结论术前LSM、ICG R15、术中出血量、肝纤维化Ishake评分>3分均可对术后并发症造成影响,其中术前LSM和术中出血量为影响术后是否发生并发症的独立因素。

Objective To investigate the risk factors of complications in laparoscopic hepatectomy for liver cancer.Methods A total of 133 patients with liver cancer treated by laparoscopic hepatectomy were divided into 2 groups according to whether there were postoperative complications.Among them,36 patients with postoperative complications were set as the complication group,and 97 patients without complications were set as the safety group.The basic data and surgical data of the 2 groups were analyzed to obtain the risk factors of complications.Results nine factors and indicators were obtained in this study,and single factor analysis was conducted respectively.The results showed that LSM and ICG R15 were the influencing factors of postoperative complications,and the difference was significant(P<0.05).Intraoperative blood loss and liver fibrosis ishake score>:3 were the influencing factors of postoperative complications,the difference was significant(P<0.05).Conclusion Preoperative LSM,ICG R15,intraoperative blood loss and liver fibrosis ishake score>3 can affect postoperative complications,among which preoperative LSM and intraoperative blood loss are independent factors influencing postoperative complications.