Analysis of risk factors associated with functional delayed gastric emptying after ret-roperitoneal tumor resection surgery
10.12354/j.issn.1000-8179.2023.20230823
- VernacularTitle:腹膜后肿瘤切除术后胃排空障碍的危险因素分析
- Author:
Boyuan ZOU
1
;
Shibo LIU
;
Haicheng GAO
;
Wenjie LI
;
Wenqing LIU
;
Maosheng TANG
;
Mei HUANG
;
Chenghua LUO
Author Information
1. 北京大学国际医院腹膜后肿瘤外科 北京市 102206
- Keywords:
retroperitoneal tumor resection;
functional delayed gastric emptying(FDGE);
risk factors;
prevention
- From:
Chinese Journal of Clinical Oncology
2023;50(21):1093-1097
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors for functional delayed gastric emptying(FDGE)after retroperitoneal tumor resection.Meth-ods:Sixty-seven patients with postoperative FDGE after retroperitoneal tumor resection from September 2017 to December 2022 admited in Peking University International Hospital were included in the observation group,and 836 normal patients who underwent ret-roperitoneal tumor resection during the same period were included in the control group.Medical histories and clinical treatment data were obtained for each group and compared to identify the risk factors for FDGE after retroperitoneal tumor resection.Results:The overall incid-ence of postoperative FDGE was 7.42%.Factors that were significantly elevated(P<0.05)in the observation group relative to the control group included adverse mental factors(37.31%),preoperative digestive tract obstruction(41.79%),postoperative abdominal cavity complic-ations(79.10%),diabetes(29.86%),average age of(61.85±6.11)years,and blood loss(1 011.94±507.30)mL.Pre-and post-surgery albumin levels[(38.22±3.75)g/L and(30.22±3.36)g/L,respectively]were significantly reduced(P<0.05)in the observation group compared to the control group.Risk factor analyses revealed that advanced age,diabetes,preoperative digestive tract obstruction,intraoperative blood loss,perioperative albumin level,postoperative abdominal cavity complications,and adverse mental factors were correlated with postoperative FDGE.Conclusions:Diverse factors could impact the risk of FDGE after retroperitoneal tumor resection.Patients should be accurately evalu-ated;reasonable and detailed prevention and treatment plans should be developed.
