Risk factors related to postoperative death in patients with rectosigmoid junction tumor perforation
10.3760/cma.j.issn.1007-631X.2017.04.004
- VernacularTitle:直肠乙状结肠交界处肿瘤穿孔患者术后死亡相关因素的分析
- Author:
Xinming LI
;
Shiqiang SHEN
;
Youneng YUAN
;
Nian LING
;
Mingming DONG
- Keywords:
Colorectal neoplasms;
Intestinal perforation;
Cause of death
- From:
Chinese Journal of General Surgery
2017;32(4):297-300
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate risk factors related to postoperative death of patients with rectosigmoid junction tumor perforation.Methods The clinical data of 76 cases with rectosigmoid junction tumor perforation confirmed by laparotomy from January 2000 to October 2015 were collected.Results Of the 76 cases,17 patients died postoperatively,the mortality rate was 22％,the single factor analysis showed that age(x2 =4.649,P =0.031),duration of abdominal pain(x2 =8.218,P =0.016),severe heart and lung diseases(x2 =11.996,P =0.007),circulatory and renal function(x2 =10.360,P =0.016),serum albumin(x2 =7.252,P =0.027),white blood cell count(x2 =7.633,P =0.022),Perforation diameter (x2 =9.770,P =0.008),Geroge grade of intraperitoneal contamination (x2 =10.086,P =0.006) were related to postoperative death (P ＜ 0.05).Multivariate analysis showed that complicating severe heart and lung diseases,preexisted circulatory and renal dysfunction,white blood cell count ＜ 4 × 109/L,size ＞ 3 cm,intraperitoneal contamination larger than one quadrant were independent risk factors for postoperative death.Conclusion Risk factors related to postoperative death of rectosigmoid junction tumor perforation were preoperative important organ dysfunction and intraperitoneal infection.
