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在激进的远端胃切除术中胃肠:来自大批量医院的病例对照研究
Zhiyuan Yu1,2,3, Yan Sun4, Yunhe Gao3
1School of Medicine, Nankai University, Tianjin, China.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|October 16, 2023
概括
男性性别,大规模的手术内出血和晚期瘤阶段是远部胃切除术后术后胃肠 (PGF) 的关键预测因素. 糖尿病也增加了门和十二指甲骨干的风险.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 医学统计 医学统计
背景情况:
- 手术后胃肠 (PGF) 是腹部手术后的一种严重并发症,导致发病率和死亡率增加.
- 对于胃癌的偏远胃切除术具有特定丸的风险,包括静脉囊 (AF) 和十二指肠茎囊 (DSF).
研究的目的:
- 为了确定PGF,AF和DSF的独立风险因素,在进行激进的远端胃切除术的患者中.
- 为预测和潜在地预防这些严重的术后并发症提供数据.
主要方法:
- 一项追溯观察性研究,涉及2652名患者,他们在2010年至2020年期间接受了激进的远端胃切除术.
- 使用单变量和多变量逻辑回归分析来选与PGF,AF和DSF相关的风险因素.
主要成果:
- 男性性别,大规模的手术内出血和晚期瘤阶段被确定为PGF的独立预测因素.
- 糖尿病和大量的手术内出血与AF有关.
- 大规模的手术内出血和晚期瘤阶段是DSF的独立风险因素.
结论:
- 男性性别,显著的手术内流血和晚期瘤阶段是PGF在激进远端胃切除术中的关键预测因素.
- 糖尿病和手术内出血是AF的危险因素,而出血和晚期瘤预测DSF.
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