Risk factor analysis of postoperative complications in gastric carcinoma patients complicated with liver cirrhosis
10.3760/cma.j.issn.1671-0274.2015.01.008
- VernacularTitle:合并肝硬化门脉高压症胃癌患者手术后并发症的危险因素分析
- Author:
Yufei ZHANG
1
;
Feng WANG
;
Guangquan ZONG
;
Lin XU
;
Ji XUAN
Author Information
1. 210002,解放军南京第八一医院全军肿瘤中心普通外科
- Keywords:
Stomach neoplasms;
Liver cirrhosis;
Postoperative complications;
Risk factors
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(1):30-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors of postoperative complications in gastric carcinoma patients complicated with liver cirrhosis. Methods A retrospective research of 41 gastric cancer patients with liver cirrhosis who underwent surgical therapy was performed. The multivariate Logistic regression analysis was carried out to determine risk factors of postoperative complications. Results There were no postoperative death in this cohort. Twenty-seven (65.9%) patients developed postoperative complications. As determined by the Logistic regression analysis , Child-Pugh score (OR=27.96, 95% CI:1.16-672.23), albumin level (OR=17.98, 95% CI:1.28-253.36) and intraoperative blood loss (OR=10.60, 95%CI:1.21-92.82) were independent risk factors of postoperative complications. Conclusion As for gastric cancer patients with liver cirrhosis, positive perioperative management, adjustment of Child-Pugh classifications score, following damage control principle during operation and reducing the intraoperative bleeding may decrease the morbidity of postoperative complications.
