Analysis of the complications and its influencing factors of patients with gastric cancer after laparoscopic radical surgery
10.3760/cma.j.issn.1008-6706.2016.21.017
- VernacularTitle:腹腔镜胃癌根治术后的并发症及其影响因素分析
- Author:
Chong LIU
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Laparoscopy;
Postoperative complication;
Risk factors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(21):3267-3271
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the complications of patients with gastric cancer after laparoscopic radical operation and its influencing factors.Methods The clinical data of 297 patients with gastric cancer undergoing laparoscopic radical gastrectomy was retrospective analysized,the occurrence of postoperative complications and influencing factors were analysized.Results In 297 patients,37 cases occurred postoperative complications,the postoperative complication rate was 12.46%.Single factor analysis,patients with onset age,BMI (body mass index (BMI),surgery preoperative comorbidity,operation time,tumor size,surgical experience and lymph node metastasis and the laparoscopic radical operation of gastric cancer patients with postoperative complications are closely related (t =8.238,9.728,9.453,8.042,6.355,11.597,6.455,all P <0.05).Multi factor logistic regression analysis,showed that BMI,preoperative complications,tumor size,surgical experience and lymph node metastasis were independent risk factors for postoperative complications (P <0.05 ).And the patients with complications after anal exhaust time of (3.91 ±1.63)was later than the patients without complications(t =7.863,P <0.05),the length of stay of (20.14 ± 6.28)d was longer than that of the patients without complications (t =9.293,P <0.05).Conclusion There are complications after laparoscopic radical gastrectomy for gastric cancer,the independent risk factors of complications are BMI,preoperative complications,tumor size,surgical experience and lymph node metastasis.
