Original Article
Analysis of the related factors of complications after laparoscopic D2 radical operation in the treatment of advanced gastric cancer
Peng Yuping, Jiang Honggang, Chen Zhiheng, Shen Xuning, Wu Jiaming, Zhu Yi, Zhou Yuan, Li Jin
Published 2019-05-15
Cite as Chin J Prim Med Pharm, 2019,26(10): 1225-1228. DOI: 10.3760/cma.j.issn.1008-6706.2019.10.018
Abstract
ObjectiveTo analyze the related factors of postoperative complications after laparoscopic assisted D2 radical resection for advanced gastric cancer.
MethodsFrom 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.
ResultsThere 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%CI: 2.183-34.405, OR=6.587, 95%CI: 1.738-23.495, 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%CI: 4.982-35.394, OR=12.304, 95%CI: 2.384-88.921, OR=6.365, 95%CI: 2.183-21.384, all P<0.05).
ConclusionTreatment 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.
Key words:
Stomach neoplasms; Postoperative complications; Laparoscopy; Factor analysis, statistical; Antineoplastic combined chemotherapy protocols; Age factors
Contributor Information
Peng Yuping
Department of Gastrointestinal Surgery, the First Hospital of Jiaxing, Jiaxing, Zhejiang, 314000, China
Jiang Honggang
Chen Zhiheng
Shen Xuning
Wu Jiaming
Zhu Yi
Zhou Yuan
Li Jin