Risk factors of postsurgical gastroparesis syndrome after complete mesocolic excision for right colon cancer
10.3760/cma.j.cn113855-20231111-00321
- VernacularTitle:腹腔镜右半结肠癌全结肠系膜切除术后胃瘫综合征的影响因素分析
- Author:
Zhen TIAN
1
;
Yifan CHENG
;
Ruiqi LI
;
Jiajie ZHOU
;
Shuai ZHAO
;
Wei WANG
;
Dong TANG
;
Jun REN
;
Qiannan SUN
;
Daorong WANG
Author Information
1. 南京大学医学院教学医院苏北人民医院，扬州 225001
- Keywords:
Colon neoplasms;
Gastroparesis;
Colectomy;
Risk factors
- From:
Chinese Journal of General Surgery
2024;39(8):584-589
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the risk factors for postsurgical gastroparesis syndrome (PGS) after laparoscopic complete mesocolic excision (CME) for right colon cancer.Methods:The clinical data of 358 patients who underwent laparoscopic CME for right colon cancer were retrospectively analyzed. Univariate and multivariate logistics regression were used to analyze the independent risk factors for PGS.Results:PGS occurred in 19 patients (4.8%). Logistic regression analysis showed that preoperative anxiety score (PAS-7)≥14 ( OR=6.450, P=0.039), preoperative serum albumin<35 g/L ( OR=9.302, P=0.011), colon cancer at hepatic flexura ( OR=9.782, P=0.007), No.206 group lymph node dissection ( OR=8.317, P=0.004), and intra-abdominal infection ( OR=5.755, P=0.043) were independent risk factors for PGS. Conclusion:Patient's preoperative health status, tumor location, scope of lymph node dissection and postoperative intra-abdominal infection are all risk factors related to PGS after CME for right colon cancer.
