Surgical Complications and the Risk Factors of Totally Laparoscopic Distal Gastrectomy
Surgical Complications and the Risk Factors of Totally Laparoscopic Distal Gastrectomy
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DOI：
10.1097/sle.0b013e318219a66b
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发表时间：
2011-06-01
影响因子：
1
通讯作者：
Maehara, Yoshihiko
中科院分区：
文献类型：
--
作者：
Oki, Eiji;Sakaguchi, Yoshihisa;Maehara, Yoshihiko
目的：尚未阐明是否存在与完全腹腔镜远端胃切除术（TLDG）相关的特定并发症。我们评估了并发症和危险因素与TLDG.Methods：回顾性分析了138例连续患者接受TLDG。结果：术中并发症10例，术后并发症28例。单因素分析确定患者年龄、合并呼吸道疾病和手术时间是重要的危险因素。多变量分析发现，在这一组没有显着的危险因素，虽然手术时间是最有前途的风险factor.Conclusions：目前的数据表明，TLDG可以进行可接受的围手术期并发症发生率，虽然较长的手术时间可能会导致更高的术后并发症的发生率。
Purpose: It has not yet been elucidated whether there are specific complications associated with totally laparoscopic distal gastrectomy (TLDG). We evaluated the complications and the risk factors associated with TLDG.Methods: A retrospective analysis was performed on 138 consecutive patients who underwent TLDG. The clinical and operative data, which included the body mass index, respiratory function, hematological data, pathological data, and the experience of surgeon, were analyzed.Results: Intraoperative and postoperative complications developed in 10 and 28 patients, respectively. A univariate analysis determined that the patient age, concurrent respiratory disease, and operation time were important risk factors. A multivariate analysis found no significant risk factors in this set, although the operation time was the most promising risk factor.Conclusions: The present data suggest that TLDG can be performed with acceptable perioperative complication rates, although a longer operation time may cause a higher frequency of postoperative complications.