[1]肖开提·依力哈尔,阿依努尔·亚森.腹腔镜辅助远端胃癌根治术后并发症发生的相关危险因素[J].医学信息,2024,37(17):85-88.[doi:10.3969/j.issn.1006-1959.2024.17.016]
 Shewket·Ilhar,Ainuur·Yassen.Risk Factors Related to Complications After Laparoscopic-assisted Radical Gastrectomy for Distal Gastric Cancer[J].Journal of Medical Information,2024,37(17):85-88.[doi:10.3969/j.issn.1006-1959.2024.17.016]
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腹腔镜辅助远端胃癌根治术后并发症发生的相关危险因素()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年17期
页码:
85-88
栏目:
论著
出版日期:
2024-09-01

文章信息/Info

Title:
Risk Factors Related to Complications After Laparoscopic-assisted Radical Gastrectomy for Distal Gastric Cancer
文章编号:
1006-1959(2024)17-0085-04
作者:
肖开提·依力哈尔1阿依努尔·亚森2
喀什地区第一人民医院胃肠外科1,重症医学二科2,新疆 喀什 844099
Author(s):
Shewket·Ilhar1 Ainuur·Yassen2
Department of Gastrointestinal Surgery1,the Second Intensive Care Unit2,the First People’s Hospital of Kashgar,Kashgar 844099,Xinjiang,China
关键词:
腹腔镜辅助远端胃癌根治术术后并发症消化道重建方式术中出血量BillroNhⅡ式吻合术
Keywords:
Laparoscopic-assisted radical gastrectomy for distal gastric cancerPostoperative complicationsDigestive tract reconstructionIntraoperative blood lossBillroNh II anastomosis
分类号:
R735.2
DOI:
10.3969/j.issn.1006-1959.2024.17.016
文献标志码:
A
摘要:
目的 研究腹腔镜辅助远端胃癌根治术(LADG)术后并发症发生的相关危险因素。方法 以2013年6月-2023年6月喀什地区第一人民医院行LADG治疗的150例患者为研究对象,依据其术后并发症情况分为并发症组(61例)与无并发症组(89例),收集其临床资料,通过单因素及多因素Logistic分析统计LADG患者术后并发症发生的相关危险因素。结果 单因素分析显示,并发症组与无并发症组年龄、BMI、肿瘤直径、手术时间、术中出血量、消化道重建方式、术前合并症比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄≥60岁、术中出血量≥200 ml、BillroNhⅡ式吻合术、术前合并症是导致LADG术后并发症发生的独立危险因素(P<0.05)。结论 年龄、术中出血量、消化道重建方式及术前合并症均是导致LADG术后并发症发生的相关危险因素。
Abstract:
Objective To study the risk factors of complications after laparoscopic-assisted distal gastrectomy (LADG).Methods A total of 150 patients who underwent LADG in the First People’s Hospital of Kashgar from June 2013 to June 2023 were divided into complication group (61 patients) and non-complication group (89 patients) according to their postoperative complications. The clinical data were collected, and the related risk factors of postoperative complications in patients with LADG were analyzed by univariate and multivariate logistic analysis.Results Univariate analysis showed that there were significant differences in age, BMI, tumor diameter, operation time, intraoperative blood loss, digestive tract reconstruction method and preoperative complications between the complication group and the non-complication group (P<0.05). Multivariate logistic regression analysis showed that age≥60 years old, intraoperative blood loss≥200 ml, BillroNh II anastomosis and preoperative complications were independent risk factors for postoperative complications of LADG (P<0.05).Conclusion Age, intraoperative blood loss, digestive tract reconstruction and preoperative complications are all related risk factors for postoperative complications of LADG.

参考文献/References:

[1]孙娟,张子木,曾子扬,等.腹腔镜辅助胃癌根治术后发生早期并发症的影响因素分析[J].中华消化外科杂志,2021,20(9):974-980.[2]苏维宏,侯利民.腹腔镜辅助远端胃癌根治术的疗效及术后并发症相关因素分析[J].安徽医学,2019,40(8):920-923.[3]李虎,高飞,郭茂森,等.胃癌根治术后早期并发症的危险因素分析及列线图模型的建立[J].肿瘤预防与治疗,2023,36(1):18-25.[4]蔡明,曾祥宇,熊振,等.腹腔镜胃癌D2根治术后早期并发症及其影响因素[J].中华胃肠外科杂志,2019,22(8):742-747.[5]张鹏,兰天珩,周一鸣,等.胃癌根治术围手术期并发症危险因素分析[J].中华胃肠外科杂志,2019,22(8):736-741.[6]魏星星,王盼兴,朱梦珂,等.腹腔镜辅助胃癌根治术后发生低蛋白血症的多因素分析及其对近期临床结局的影响[J].中国普外基础与临床杂志,2022,29(11):1482-1487.[7]江永强,曹辉,姜宝,等.腹腔镜辅助胃癌根治术后并发症的Clavien-Dindo分级以及危险因素的分析[J].中国普通外科杂志,2018,27(10):1312-1319.[8]Prof HK,Junki MM,Hiroshi K,et al.Survival outcomes after laparoscopy-assisted distal gastrectomy versus open distal gastrectomy with nodal dissection for clinical stage IA or IB gastric cancer (JCOG0912): a multicentre, non-inferiority, phase 3 randomised controlled trial[J].The Lancet Gastroenterology & Hepatology,2020,5(2):142-151.[9]林鹏航,林春霖,王琴,等.胃癌D2根治术后短期并发症对患者远期生存率的影响[J].肿瘤防治研究,2021,48(6):625-630.[10]白静,巴楠,张小娟,等.胃癌根治术后肺部感染病原菌及危险因素[J].中华医院感染学杂志,2020,30(21):3316-3320.[11]袁士杰,张兴智,刘兆瑞,等.胃癌根治术围手术期并发症危险因素分析[J].第二军医大学学报,2020,41(3):287-291.[12]陈杰,李政焰,季刚,等.腹腔镜与开腹胃癌根治术后并发症的Clavien-Dindo分级及危险因素分析[J].腹部外科,2020,33(1):34-41.[13]杨拴元,党涛平,刘旭晨.腹腔镜胃癌根治术围术期并发症分析及预防对策[J].贵州医药,2020,44(1):28-30.[14]刘苗,王英南,赵群,等.不同Lauren分型胃癌的临床病理特征及影响胃癌根治术后复发的危险因素分析[J].中国肿瘤,2019,28(12):941-950.[15]赵艳,陈倩,柴宇霞,等.腹腔镜辅助远端胃癌根治术治疗胃癌的临床效果及术后并发症影响因素分析[J].实用癌症杂志,2023,38(5):799-802.[16]汪兵,赵海远,陈方正,等.胃癌根治术后并发症的危险因素及对预后的影响[J].中国临床研究,2019,32(7):946-949.[17]吴佳明,朱奕,窦广健,等.腹腔镜胃癌根治术中血管损伤的危险因素分析[J].中国医药导报,2019,16(11):93-96.[18]陈建新,林铭,金文海.腹腔镜辅助胃癌根治术后并发症的Clavien-Dindo分级及影响因素分析[J].临床外科杂志,2022,30(2):171-174.[19]Kang KC,Cho GS,Han SU,et al.Comparison of Billroth I and Billroth II reconstructions after laparoscopy-assisted distal gastrectomy: a retrospective analysis of large-scale multicenter results from Korea[J].Surgical Endoscopy,2011,25(6):53-61.[20]权峰涛,杨维桢.腹腔镜辅助远端胃癌根治术手术时间延长的相关因素分析及对术后并发症的影响[J].腹腔镜外科杂志,2018,23(5):337-339.[21]郗洪庆,蓝炘,张珂诚,等.腹腔镜辅助远端胃癌根治术后并发症发生的危险因素分析[J].中华消化外科杂志,2018,17(2):182-187.[22]于智慧,韦昊汝.胃癌患者行腹腔镜辅助胃癌根治术的疗效及术后并发症发生的危险因素分析[J].医学临床研究,2021,38(9):1300-1303.[23]马军,周潮平,张亚铭,等.胃癌根治术后早期严重并发症的危险因素以及对远期预后的影响[J].国际外科学杂志,2022,49(2):79-85.[24]孔伟迅,李霞,吕丽敏,等.腹腔镜辅助远端胃癌根治术后并发症发生的相关危险因素[J].实用癌症杂志,2022,37(9):1477-1479.

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更新日期/Last Update: 1900-01-01