Risk factor analysis of postoperative complications in gastric carcinoma patients complicated with liver cirrhosis.
- Author:
Yufei ZHANG
1
;
Feng WANG
;
Guangquan ZONG
;
Lin XU
;
Ji XUAN
Author Information
- Publication Type:Journal Article
- MeSH: Factor Analysis, Statistical; Humans; Liver Cirrhosis; Morbidity; Postoperative Complications; Retrospective Studies; Risk Factors; Stomach Neoplasms
- From: Chinese Journal of Gastrointestinal Surgery 2015;18(1):30-32
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze the risk factors of postoperative complications in gastric carcinoma patients complicated with liver cirrhosis.
METHODSA 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.
RESULTSThere 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.
CONCLUSIONAs 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.
