Analysis of causes and risk factors of unplanned reoperation after laparoscopic colorectal cancer surgery
Objective To explore the causes and related risk factors of unplanned reoperation after lapa-roscopic colorectal cancer surgery.Methods The clinical data of 1 641 patients undergoing laparoscopic color-ectal cancer surgery in the gastrointestinal surgery department of this hospital from January 2020 to December 2022 were retrospectively analyzed.Fifteen patients underwent the unplanned reoperation after surgery.The causes of unplanned reoperation were analyzed,and the risk factors were analyzed by the univariate and multi-variate logistic regression.Results The incidence rate of unplanned reoperation after laparoscopic surgery for colorectal cancer was 0.91％.The main causes were the anastomotic fistula(26.67％)and intestinal obstruc-tion(20.00％);through symptomatic treatment,12 cases were cured,2 cases were discharged automatically and 1 case died.The univariate and multivariate regression analysis showed that preoperative diabetes,preop-erative hypoproteinemia,excessive intraoperative bleeding and history of abdominal surgery were the inde-pendent risk factors for unplanned reoperation(P＜0.05).Conclusion The most common causes of un-planned reoperation after laparoscopic colorectal cancer surgery are the anastomotic leakage and intestinal ob-struction.For the patients with diabetes,hypoproteinemia and excessive intraoperative bleeding,the attention should be paid to the prevention of this disease.
国家科技期刊平台
NSTL
万方数据
