腹腔镜结直肠癌根治术并发症的相关危险因素分析

Correlative risk factors analysis of the postoperative complication in laparoscopic resection of colorectal cancer

摘要:

目的 探讨影响腹腔镜结直肠癌根治术并发症发生的相关危险因素。方法 回顾分析2007年1月~2013年1月收治行腹腔镜结直肠癌根治术治疗的186例患者的临床资料，对可能影响患者手术并发症发生的相关临床指标进行多因素分析。结果 该组发生并发症38例。单因素分析结果显示，并发症组和无并发症组年龄、BMI、合并呼吸系统疾病、手术时间及是否预防性结肠造口比较，差异存在显著性（P <0.05）。多因素Logistic回归分析结果显示：BMI、合并呼吸系统疾病、手术时间及是否预防性结肠造口是影响腹腔镜结直肠癌根治术并发症发生的独立危险因素（P <0.05）。结论 行腹腔镜结直肠癌手术前，临床应完善手术前的评估，对可能影响手术并发症发生的高危因素有良好的判断，必要时进行临床干预，使并发症的发生风险性降到最小。

Abstract:

【Objective】 To study the clinical risk factors of the postoperative complication in laparoscopic resection of colorectal cancer. 【Methods】 Retrospective analysis of treated 186 cases of colorectal cancer by laparoscopic resection in our department from 2007 to 2013 were conducted．The risk factors in all patients were analyzed. 【Results】 The postoperative complication was found in 38 patients. The rate of postoperative complication was closely related to age, BMI, with respiratory system diseases, time of operation, whether preventive colostomy. The logistic regression showed that BMI, with respiratory system diseases, time of operation, whether preventive colostomy were independent risk factors of the postoperative complication in laparoscopic resection of colorectal cancer（P＜0.05）． 【Conclusion】 Before laparoscope for colorectal cancer, we should improve the clinical evaluation，have good judgment for the operations for the potential postoperative complications and reduce the rate of postoperative complications.