Influencing factors of hypothermia in prostate cancer patients over 80 years old after laparoscopic radical prostatectomy via extraperitoneal approach
10.3969/j.issn.1009-0754.2025.10.013
- VernacularTitle:80岁以上的前列腺癌患者行经腹膜外途径腹腔镜下前列腺癌根治术后低体温的影响因素分析
- Author:
Huijuan MIAO
1
;
Xiaojun DENG
;
Haiying ZHU
;
Linlin GUO
;
Haili MU
;
Hongxia WEI
Author Information
1. 200081 上海,上海四一一医院麻醉科
- Keywords:
Prostate cancer;
Laparoscopic radical prostatectomy;
Postoperative hypothermia
- From:
Journal of Navy Medicine
2025;46(10):1042-1046
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors of hypothermia after extraperitoneal laparoscopic radical prostatectomy in prostate cancer patients over 80 years old,so as to improve the effectiveness of treatment.Methods The clinical data of 26 cases of prostate cancer patients over 80 years old who underwent extraperitoneal laparoscopic radical prostatectomy in Shanghai 411 hospital from January 2021 to December 2023 were analyzed retrospectively.The incidence of postoperative hypothermia was investigated.Univariate and multivariate Logistic regression analyses were used to analyze the related factors of postoperative hypothermia in elderly patients.Results The incidence of hypothermia was 61.54%(16/26).Univariate analysis indicated that body mass index(BMI),intraoperative thermal insulation,intraoperative infusion volume,operation time,and anesthesia time were related to the occurrence of postoperative hypothermia in elderly patients(all P<0.05).Multivariate Logistic regression analysis indicated that BMI≤24,intraoperative infusion volume>2 000 ml,anesthesia time>3 h and operation time>2.5 h were high risk factors for postoperative hypothermia in patients over 80 years old.Conclusion The independent influencing factors of hypothermia after extraperitoneal laparoscopic prostatectomy for selected prostate cancer patients over 80 years old are BMI,intraoperative infusion volume,duration of anesthesia,and operation time.These factors should be paid more attention during perioperative period in order to improve clinical safety.
