Analysis of risk factors of intraperitoneal infection after laparoscopic surgery for hepatocellular carcinoma with cirrhosis and portal hypertension
10.3969/j.issn.1005-6483.2023.11.014
- VernacularTitle:原发性肝癌合并肝硬化门静脉高压症腹腔镜断流术同期联合肝切除或射频消融手术腹腔感染危险因素分析
- Author:
Jing WEN
1
;
Zhe JIA
;
Rong HE
;
Hongwei ZHANG
;
Ke ZHANG
Author Information
1. 100015 首都医科大学附属北京地坛医院普外科
- Keywords:
hepatocellular carcinoma;
liver cirrhosis;
portal hypertension;
surgery;
intraperitoneal infection
- From:
Journal of Clinical Surgery
2023;31(11):1053-1056
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the incidence and risk factors of intraperitoneal infection in patients with hepatocellular carcinoma combined with cirrhosis and portal hypertension undergoing laparoscopic surgery.Methods The clinical data of 105 consecutive cases of laparoscopic devascularization combined with hepatectomy or radiofrequency ablation were retrospectively analyzed.The factors that may cause intraperitoneal infection were recorded.The postoperative recovery was observed and the incidence of intraperitoneal infection was recorded.Single factor and logistic regression multivariate analysis were used to screen independent risk factors for intraperitoneal infection.Results The incidence of intraperitoneal infection was 17.14％.Diabetes,MELD score,intraoperative bleeding and postoperative ascites were independent risk factors for intraperitoneal infection(P＜0.05).Conclusion It is necessary to strengthen liver function maintenance,intraoperative bleeding control,reduce the third space effusion and blood sugar management of patients with diabetes to reduce intraperitoneal infection.
