结肠直肠癌患者接受手术的BMI和术后并发症之间的关系
Ayyob Alqarni1,2, Fahad Aljehaiman3,4, Saad A Almousa3,4
1Department of General and Colorectal Surgery, King Abdulaziz Medical City, Riyadh, SAU.
Cureus
|December 14, 2023
概括
体重指数 (BMI) 升高与结直肠癌 (CRC) 手术中的术后并发症增加有关. 瘤位置和外科手术方法等因素也会影响结果,需要全面的管理策略.
科学领域:
- 结肠直肠手术的结果
- 肥胖和手术风险 肥胖和手术风险
- 癌症患者的管理管理.
背景情况:
- 大肠直肠癌 (CRC) 是一种普遍存在的全球性恶性瘤,需要手术干预.
- 手术后并发症显著影响患者的康复和医疗负担.
- 了解CRC手术并发症的风险因素对于改善患者护理至关重要.
研究的目的:
- 调查体质指数 (BMI) 升高与结直肠癌 (CRC) 患者手术后并发症之间的关联.
- 识别其他潜在的风险因素,包括并发症,瘤特征和手术类型.
- 描述不同BMI组的患者特征.
主要方法:
- 追溯队列研究涉及122名CRC患者 (≥18岁) 接受手术 (2015-2022).
- 使用SPSS v.27收集和分析的数据,使用描述性统计和非参数测试.
- 统计学显著性设置为p < 0.05,在研究开始前获得伦理认可.
主要成果:
- 较高的BMI得分与术后并发症的增加有显著的相关性 (p < 0.05).
- 较高的BMI在男性中更常见,并与较低的血红蛋白水平相关 (p <0.05).
- 肠直肠/直肠西格瘤和部分切除术增加了并发症风险 (p < 0.05);并发症没有显著的关联 (p > 0.05).
结论:
- 在结直肠癌患者中,较高的BMI与不良的术后结果有关,包括静脉血栓栓塞 (VTE) 和液体收集.
- 瘤特征和手术方法是术后结果的重要决定因素,超出BMI.
- 考虑各种因素的多方面的方法对于管理CRC患者的术后并发症至关重要,特别是那些BMI较高的患者.
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