Risk Factors Related to Complications After Laparoscopic-assisted Radical Gastrectomy for Distal Gastric Cancer
Objective To study the risk factors of complications after laparoscopic-assisted distal gastrectomy(LADG).Methods A total of 150 patients who underwent LADG in the First People's Hospital of Kashgar from June 2013 to June 2023 were divided into complication group(61 patients)and non-complication group(89 patients)according to their postoperative complications.The clinical data were collected,and the related risk factors of postoperative complications in patients with LADG were analyzed by univariate and multivariate logistic analysis.Results Univariate analysis showed that there were significant differences in age,BMI,tumor diameter,operation time,intraoperative blood loss,digestive tract reconstruction method and preoperative complications between the complication group and the non-complication group(P<0.05).Multivariate logistic regression analysis showed that age≥60 years old,intraoperative blood loss ≥200 ml,BillroNh Ⅱ anastomosis and preoperative complications were independent risk factors for postoperative complications of LADG(P<0.05).Conclusion Age,intraoperative blood loss,digestive tract reconstruction and preoperative complications are all related risk factors for postoperative complications of LADG.