| 腹腔镜辅助直肠癌根治术后并发症及其相关因素分析 |
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| 引用本文： | 刘作良,;周彤,;梁小波,;王崇树,;魏寿江,;马峻杰,;张广军. 腹腔镜辅助直肠癌根治术后并发症及其相关因素分析[J]. 肿瘤研究与临床, 2014, 0(8): 527-530 |
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| 作者姓名： | 刘作良, 周彤, 梁小波, 王崇树, 魏寿江, 马峻杰, 张广军 |
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| 作者单位： | [1]川北医学院附属医院肝胆胰肠疾病研究所胃肠外科,四川南充637000; [2]山西省肿瘤医院结直肠肛门外科,四川南充637000; |
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| 基金项目： | 川北医学院青年项目（CBY12-A-QN15） |
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| 摘 要： | 目的 分析腹腔镜辅助直肠癌根治术后并发症及其相关因素.方法 回顾分析2010年11月至2013年8月接受腹腔镜辅助直肠癌根治术310例患者的临床资料,比较有并发症组与无并发症组临床资料的差异.对发生术后并发症的危险因素进行单因素和多因素Logisitic回归分析.结果 310例患者中80例出现并发症.单因素分析显示：性别、发病年龄、术前合并疾病、体质量指数、肿瘤位置、分期、术者手术经验及手术时间与腹腔镜辅助直肠癌根治术后并发症相关（均P＜ 0.05）.多因素回归分析显示：性别、体质量指数、肿瘤位置、术前分期、术前合并疾病和术者手术经验是术后并发症发生的独立危险因素（均P＜0.05）.260例患者获得3～30个月（中位数18个月）的随访,有并发症组与无并发症组的生存曲线差异无统计学意义（x2=1.201,P=0.273）.结论 腹腔镜辅助直肠癌根治术后并发症发生的独立危险因素为性别、体质量指数、肿瘤位置、术前分期、术前合并疾病和术者手术经验.有无并发症患者的近期和中期生存情况相似.
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| 关 键 词： | 直肠肿瘤 腹腔镜 手术后并发症 |
Analysis of postoperative complications and their related factors after laparoscopic-assisted radical surgery in rectal cancer |
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| Affiliation: | Liu Zuoliang(Department of Gastrointestinal Surgery, Institute of Hepatobiliary, Pancreas and Intestinal Disease, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China) Zhou Tong(Department of Gastrointestinal Surgery, Institute of Hepatobiliary, Pancreas and Intestinal Disease, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China) Liang Xiaobo Wang Chongshu(Department of Gastrointestinal Surgery, Institute of Hepatobiliary, Pancreas and Intestinal Disease, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China) Wei Shoujiang(Department of Gastrointestinal Surgery, Institute of Hepatobiliary, Pancreas and Intestinal Disease, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China) Ma Junjie Zhang Guangjun(Department of Gastrointestinal Surgery, Institute of Hepatobiliary, Pancreas and Intestinal Disease, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China) |
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| Abstract: | Objective To investigate the factors associated with postoperative complications after laparoscopic-assisted radical surgery in rectal cancer.Methods The clinical data of 310 patients with rectal cancer performed by laparoscopic-assisted radical resection from November 2010 to August 2013 were analyzed retrospectively.The differences between patients with and without postoperative complications were compared.All the data were analyzed by the t test,chi-square test or Logistic regression analysis.Results Among the 310 patients,postoperative complication occurred in 80 patients.On univariate analysis,postoperative complication was associate with gender,age,body mass index,preoperative comorbidity,diameter and location of tumor,TNM staging,operative time and surgeon experience （all P 〈 0.05）.Logistic regression analysis revealed that gender,body mass index,preoperative comorbidity,location of tumor,TNM staging and surgeon experience were independent risk factors for postoperative complications （all P 〈 0.05）.Follow-up was available in 260 patients,with a median follow-up of 18 months （3-30 months）.Differences in survival rates between patients with and without postoperative complications were no statistical significance （x2 =1.201,P =0.273）.Conclusions Gender,body mass index,preoperative comorbidity,location of tumor,TNM staging and surgeon experience are independent risk factors for postoperative complications in laparoscopic-assisted radical surgery for rectal cancer.The short and medium-term survival time between patients with and without postoperative complications are similar. |
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| Keywords: | Rectal neoplasms Laparoscopes Postoperative complications |
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