Logistic regression analysis of risk factors of abdominal bleeding after laparoscopic cholecystectomy for benign gallbladder disease
Objective:To explore the risk factors of abdominal bleeding after laparoscopic cholecystectomy(LC)for benign gallbladder disease.Methods:Three hundred and fifty-nine patients with benign gallbladder disease who underwent LC in Lankao County Hospital of Traditional Chinese Medicine from February 2020 to February 2022 were selected retrospectively.They were divided into bleeding group and non-bleeding group according to whether there was abdominal bleeding after LC.The risk factors of abdominal bleeding after LC were analyzed by univariate and multivariate logistic regression analysis.Results:The incidence of abdominal bleeding was 4.74%(17/359);univariate analysis showed that there were statistically significant differences in gallbladder wall thickness,variation of anatomical structure,gallbladder atrophy,adhesion of Calot triangle,cauterization of Calot triangle and operation time between the bleeding group and the non-bleeding group(P<0.05);multivariate logistic regression analysis showed that the thickness of gallbladder wall≥5 mm,the variation of anatomical structure,the adhesion of Calot triangle,the cauterization of Calot triangle,and emergency surgery were independent risk factors for abdominal bleeding after LC for benign gallbladder disease(P<0.05).Conclusion:Independent risk factors of abdominal bleeding after LC for benign gallbladder disease include the thickness of gallbladder wall≥5 mm,variation of anatomical structure,adhesion of Calot triangle,cauterization of Calot triangle and emergency operation.Clinical preventive measures can be formulated to reduce the incidence of abdominal bleeding.
万方数据
维普
