老年人腹腔镜结直肠癌根治术后并发症的影响因素分析

An Analysis on the Factors Influencing their Postoperative Complications Happen in Senior Patients Underwent Laparoscopic Radical Surgery for Colorectal Cancer

目的:探讨老年人腹腔镜结直肠癌根治术后并发症的影响因素。方法:回顾2018年2月至2021年12月接诊的126例行腹腔镜结直肠癌根治术治疗的老年患者资料,根据患者术后是否发生并发症分为并发症组和无并发症组,比较2组患者临床病理特征,并采用Logistic回归分析法分析影响术后并发症的因素。结果:126例患者中,术后发生并发症25例(并发症组),未发生并发症101例(无并发症组)。2组患者体质量指数(BMI)、合并呼吸系统疾病者比例、手术时间、预防性肠造口者比例比较差异均有统计学意义,P <0.05。进一步Logistic回归分析显示,BMI大小、是否合并呼吸系统疾病、手术时间长短、是否预防性肠造口是影响老年人腹腔镜结直肠癌根治术后并发症的独立因素,P <0.05。结论:BMI大、合并呼吸系统疾病、手术时间长、未预防性肠造口是老年人腹腔镜结直肠癌根治术后并发症发生的危险因素。临床工作中,应做好术前评估,对于肥胖、合并呼吸系统疾病者术后积极予以干预,尽量缩短手术时间,合理预防性肠造口,降低术后并发症发生风险。

Objective To investigate the factors influencing their postoperative complications happen in senior patients underwent laparoscopic radical surgery for colorectal cancer.Methods Reviewed the data of 120 colorectal cancer patients treated with laparoscopic radical surgery in author’s hospital(2018-02—2021-12),according to with or without complication divided them into complication group and non-complication group:then,compared both groups’ patients’ clinical pathological feature,and,by using Logistic regression analysis methods analysed the factors influencing their postoperative complications happen.Results In the 126 cases,25 suffered from postoperative complication(i.e complication group),rest 101 cases as non-complication group.In BMI,the ratio of the patients complicated with respiratory diseases,operating time,and the ratio of the patients with prophylactic bowel stoma there was statistical difference between the two groups(P<0.05).Logistic regression analysis further showed patients’ BMI value,with or without complicated respiratory disease,long or short operating time,and with or without prophylactic bowel stoma were the independent factors influencing postoperative complication happen in those patients(P<0.05).Conclusion The factors influencing postoperative complications happen in the senior patients undergoing laparoscopic surgery for colorectal cancer include larger BMI value,complicated with respiratory diseases,long operating time,and without prophylactic bowel stoma,etc.Thus,clinically it should be making preoperative evaluation better,especially to the patients being overweight,complicated with respiratory disease at postoperative to take active intervention?as possible as shorten operating time,rationally prophylacticly stoma,so that reduce the risk of postoperative complications happen.