Analysis of the related factors of complications after laparoscopic D2 radical operation in the treatment of advanced gastric cancer
10.3760/cma.j.issn.1008-6706.2019.10.018
- VernacularTitle: 腹腔镜辅助D2根治术治疗进展期胃癌术后发生并发症的相关因素分析
- Author:
Yuping PENG
1
;
Honggang JIANG
;
Zhiheng CHEN
;
Xuning SHEN
;
Jiaming WU
;
Yi ZHU
;
Yuan ZHOU
;
Jin LI
Author Information
1. Department of Gastrointestinal Surgery, the First Hospital of Jiaxing, Jiaxing, Zhejiang, 314000, China
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Postoperative complications;
Laparoscopy;
Factor analysis, statistical;
Antineoplastic combined chemotherapy protocols;
Age factors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(10):1225-1228
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the related factors of postoperative complications after laparoscopic assisted D2 radical resection for advanced gastric cancer.
Methods:From August 2015 to July 2017, 80 patients with advanced gastric cancer admitted to the First Hospital of Jiaxing were selected.All the patients were treated with laparoscopic-assisted D2 radical resection, and the risk factors related to postoperative complications were analyzed by logistic regression analysis model.
Results:There were 33 cases (41.25%) with postoperative system complications, 19 cases (23.75%) with complications of level Ⅱ and above; 15 cases (18.75%) with postoperative local complications, among them 12 cases (15.00%) appeared level Ⅱ and above local complications.The number of concomitant diseases and age were related risk factors for systemic complications in patients with advanced gastric cancer after laparoscopic D2 radical resection (OR=1.982, 95%CI: 2.183-34.405, OR=6.587, 95%CI: 1.738-23.495, all P<0.05). The preoperative neoadjuvant chemotherapy, reconstruction method and age were the risk factors for local complications in patients with advanced gastric cancer after laparoscopic D2 radical resection (OR=8.273, 95%CI: 4.982-35.394, OR=12.304, 95%CI: 2.384-88.921, OR=6.365, 95%CI: 2.183-21.384, all P<0.05).
Conclusion:Treatment of advanced gastric cancer patients with laparoscopic D2 radical mastectomy, attention should be paid to control the patients' age, preoperative neoadjuvant chemotherapy, reconstruction mode, associated disease and other related risk factors.In order to ensure the safety of patients and to avoid postoperative complications.
