对腹腔镜胆囊切除术后并发症的危险因素的分析
Jing-Nan Fu1,2, Shu-Chang Liu2, Yi Chen2
1Department of Minimally Invasive Surgery, Characteristics Medical Center of Chinese People Armed Police Force, Tianjin, China.
Heliyon
|August 21, 2023
概括
腹腔镜胆囊切除术并发症发生在7.53%的患者中. 关键的危险因素包括卡洛特三角粘附,解剖学变异和胆囊壁加厚,需要进行彻底的手术前评估.
科学领域:
- 胃肠道学和肝胆道外科
- 外科手术风险因素分析
- 最少侵入性的外科手术程序
背景情况:
- 腹腔镜胆囊切除术 (LC) 是切除胆囊的一种常见手术.
- 了解术后并发症对于患者安全和手术结果至关重要.
- 识别特定的风险因素可以指导预防策略.
研究的目的:
- 分析腹腔镜胆囊切除术后术后并发症的发生率.
- 识别和评估与这些并发症相关的独立风险因素.
主要方法:
- 从478名接受LC治疗的患者的临床数据的回顾性分析.
- 从2018年3月到2022年9月收集的数据.
- 统计分析包括单变量和多变量方法来确定风险因素.
主要成果:
- 共有36名患者 (7.53%) 出现并发症,包括出血,胆道损伤和胆道.
- 单变量分析确定了卡洛特三角粘附,解剖变异和胆囊壁厚度 (>5毫米) 是重要的因素.
- 多变量分析证实卡洛特三角粘附 (OR=3.041),解剖变异 (OR=4.368) 和胆囊壁加厚 (OR=2.827) 是独立的风险因素 (P <0.05).
结论:
- 三角粘附,解剖变异和胆囊壁加厚是LC后并发症的重要独立风险因素.
- 对这些风险因素的认识对于降低术后并发症率至关重要.
- 建议加强手术前准备和风险评估,以改善患者的治疗结果.
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