Analysis of the related factors of complications after laparoscopic D2 radical operation in the treatment of advanced gastric cancer / 中国基层医药
Chinese Journal of Primary Medicine and Pharmacy
; (12): 1225-1228, 2019.
Article
em Zh
| WPRIM
| ID: wpr-744530
Biblioteca responsável:
WPRO
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 % CI2.183-34.405,OR =6.587,95 % CI1.738-23.495,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 % CI4.982-35.394,OR =12.304,95 % CI2.384-88.921,OR =6.365,95 % CI2.183-21.384,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.
Texto completo:
1
Base de dados:
WPRIM
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Idioma:
Zh
Revista:
Chinese Journal of Primary Medicine and Pharmacy
Ano de publicação:
2019
Tipo de documento:
Article