Objective To investigate the risk factors for postsurgical gastroparesis syndrome(PGS)after laparoscopic complete mesocolic excision(CME)for right colon cancer.Methods The clinical data of 358 patients who underwent laparoscopic CME for right colon cancer were retrospectively analyzed.Univariate and multivariate logistics regression were used to analyze the independent risk factors for PGS.Results PGS occurred in 19 patients(4.8％).Logistic regression analysis showed that preoperative anxiety score(PAS-7)≥14(OR=6.450,P=0.039),preoperative serum albumin＜35 g/L(OR=9.302,P=0.011),colon cancer at hepatic flexura(OR=9.782,P=0.007),No.206 group lymph node dissection(OR=8.317,P=0.004),and intra-abdominal infection(OR=5.755,P=0.043)were independent risk factors for PGS.Conclusion Patient's preoperative health status,tumor location,scope of lymph node dissection and postoperative intra-abdominal infection are all risk factors related to PGS after CME for right colon cancer.
维普
万方数据