摘要
目的:对腹腔镜辅助结直肠癌手术并发症进行临床调查分析,探讨其发生原因及预防对策。方法:随机选取2012年4月至2014年4月118例行腹腔镜结直肠癌手术的患者作为研究对象,对其临床资料进行回顾性分析。结果:118例腹腔镜辅助结直肠癌手术患者中共22例发生并发症,发生率为18.6%。主要表现为吻合口漏、切口感染、肠梗阻、术后出血、气腹征及其他感染等;影响手术并发症的显著因素为患者年龄、体重指数、合并糖尿病情况,logistic多因素回归分析结果显示年龄、体质量指数、合并糖尿病是腹腔镜辅助结直肠癌手术并发症发生的独立危险因素,对并发症的发生具有重要作用。结论:年龄、体重指数、合并糖尿病是腹腔镜辅助结直肠癌手术并发症的独立高危因素,对高危患者应加强围手术期监控,严格进行无菌操作,以减少并发症的发生。
Objective： To analyze complication of laparoscopic-assisted surgery for colorectal cancer,and investigate the causes and preventive measures. Methods： From Apr. 2012 to Apr. 2014,118 patients with colorectal cancer were selected,and they were treated with laparoscopic-assisted surgery,their clinical data were retrospectively analyzed. Results： Twenty-two patients suffered from complications（ 18. 6%）. The anastomotic leakage,incision infection,intestinal obstruction,postoperative bleeding,pneumoperitoneum symptoms and other infections were mainly complications; patients＇ age,body mass index,diabetes were significant factors affecting surgical complications,the results of logistic regression analysis showed： age,body mass index and diabetes complications were independent risk factors for complications of laparoscopic-assisted colorectal surgery,played an important role in the incidence of complications.Conclusions： The age,body mass index and diabetes are independent risk factors for complications of laparoscopic-assisted surgery for colorectal cancer,high-risk patients should be perioperatively monitored and strict aseptic technique should be carried out to reduce the incidence of complications.
出处
《腹腔镜外科杂志》
2015年第8期590-593,共4页
Journal of Laparoscopic Surgery
关键词
结直肠肿瘤
腹腔镜检查
并发症
临床调查
Colorectal neoplasms
Laparoscopy
Complications
Clinical investigation
