Analysis of risk factors for postoperative complications in early esophageal cancer patients after ESD
Objective To explore the risk factors for complications after endoscopic submucosal dissec-tion(ESD)in early esophageal cancer patients.Methods A total of 82 patients with early esophageal cancer admitted to the hospital from January 2021 to April 2023 were selected and divided into the control group(50 cases)and the study group(32 cases)based on the incidence of postoperative complications.Clinical character-istics of the two groups were compared to analyze the risk factors of complications after ESD in the patients with early gastric cancer.Results There were statistically significant differences in terms of age,diabetes his-tory,tumor tissue invasion depth,tumor diameter,operation time,postoperative wound,intrinsic muscle layer injury,and platelet(PLT)count between the two groups(P<0.05).Age(≥60 years old),diabetes,tumor di-ameter(<20 mm),operation time(≥45 min),PLT(≥300×109 L-1),tumor tissue invasion depth(m3+sm1)were risk factors for complications after ESD(P<0.05).Conclusion Age,diabetes,tumor diameter,operation time,PLT,and tumor tissue invasion depth are risk factors for postoperative complications of early esophageal cancer patients after ESD.Clinically,high-risk patients can be screened according to the above factors and fol-low-up can be strengthened to reduce the incidence of postoperative complications of ESD.
Early esophageal cancerEndoscopic submucosal dissectionComplicationsRisk factor