Objective:To investigate the risk factors of postoperative complications in patients with right colon cancer undergoing minimally invasive CME.Methods:Clinical data of 282 patients with right colon cancer who underwent laparoscopic CME in the Department of General Surgery of the Fifth People's Hospital of Pingdingshan City,and the First Department of Hepatobiliary Surgery of the People's Hospital of Chuxiong City,from January 2010 to January 2020 were retrospectively analyzed.Incidence of postoperative complications was analyzed,and the independent risk factors of postoperative complications were evaluated by univariate and multivariate methods.Results:There were 52 cases for 74 times with postoperative complications in 282 patients and the incidence rate was 18.44％.According to Clavien-Dindo classification,complication with grade Ⅰ,Ⅱ and Ⅳwere 30 cases,42 cases,and 2 cases respectively.The incidence of postoperative complications of groups with age ≥65 years,BMI≥28 kg/m2 and preoperative Hb level＜100 g/L was significantly lower than groups with age＜65 years,BMI＜28 kg/m2 and preoperative Hb level≥100 g/L,with statistically significant difference(x2=8.678,11.943,25.102;P＜0.05).Logistic regression analysis showed that age ≥65 years and BMI ≥28 kg/m2 were independent risk factors of postoperative complications in patients with right colon cancer by laparoscopic CME(OR=7.94,5.15;P＜0.05).Conclusion:The postoperative complications of TME are mostly of grade Ⅰ～Ⅱ.The incidence of postoperative complications was independently related to age and body mass index,and the elderly and obese people were more likely to have complications.
关键词
右半结肠癌/腹腔镜/完整结肠系膜切除/并发症/危险因素
Key words
Right colon cancer/Laparoscopy/CME/Complications/Risk factor
维普
万方数据