Risk factor evaluation for postoperative complications in laparoscopic colorectal surgery by a classic severity grading system
Risk factor evaluation for postoperative complications in laparoscopic colorectal surgery by a classic severity grading system
复制标题
采用经典严重程度分级系统评估腹腔镜结直肠手术术后并发症的危险因素
DOI：
10.1007/s13277-014-2016-8
复制
发表时间：
2014-05
期刊：
影响因子：
--
通讯作者：
Qiu Zhengjun
中科院分区：
文献类型：
--
作者：
Xia Xiang;Cen Gang;Jiang Tao;Cao Jun;Huang Kejian;Huang Chen;Qiu Zhengjun
采用统一的并发症分级系统来评估腹腔镜结直肠手术后的并发症是本研究的目的。手术并发症按Dindo等推荐的I、II、III、IV和V级进行定义，患者分为三组：并发症组（CG）和无并发症组（NCG），轻微并发症组（NCG）（MiCG，I-II级）和非轻微并发症组（NMiCG）以及严重并发症组（MaCG，III-V级）和非重大并发症组（NMaCG）;在570例患者中，431例患者无并发症出院，119例患者发生174例并发症。I、II、III、IV和V级并发症的百分比分别为4.7%、20%、4.7%、0.7%和0.4%。并发症与男性、较大肿瘤体积和估计失血量（EBL）显著相关。多因素分析显示男性和EBL ≥150 ml是术后并发症的独立预测因素。在亚组分析中，肿瘤体积较大的患者发生术后重大并发症的风险显著较高，男性和EBL ≥150 ml仍然是发生术后轻微并发症的独立预测因素。术后并发症患者的住院时间明显延长，液体摄入延迟，导尿管拔除延迟。男性、肿瘤体积大、EBL多是腹腔镜结肠切除术的显著危险因素。
Using the uniform complication grading system to evaluate postoperative complications after laparoscopic colorectal surgery is the purpose of the present study. Surgical complications were defined as grades I, II, III, IV, and V recommended by Dindo et al. Patients were categorized into three pairs: complication group (CG) and non-complication group (NCG), minor complication group (MiCG, grades I–II) and non-minor complication group (NMiCG), and major complication group (MaCG, grades III–V) and non-major complication group (NMaCG); of the 570 patients, 431 patients were discharged with no complications, and 174 complications occurred in 119 patients. The percent of grades I, II, III, IV, and V complications were 4.7, 20, 4.7, 0.7, and 0.4 %, respectively. Complications were significantly associated with male gender, larger tumor volume, and more estimated blood loss (EBL). The multivariate analysis revealed that male and EBL ≥150 ml were found to be independent predictors of postoperative complications. In subgroup analysis, patients with larger tumor volume were at significantly higher risk of postoperative major complications, and male gender and EBL ≥150 ml remained independent predictors of developing minor postoperative complications. Patients with postoperative complications would significantly experience longer hospital stay, later fluid intake, and delayed urinary catheter removal. Male, larger tumor volume, and more EBL were significant risk factors for laparoscopic colorectomy.
登录
查看更多内容
影响因子：
2.6
作者：
Kang, Jeonghyun;Min, Byung Soh;Lee, Kang Young
通讯作者：
Lee, Kang Young
影响因子：
3.9
作者：
L. Strate;Yan L Liu;S. Syngal;Walid H Aldoori;Edward Giovannucci
通讯作者：
L. Strate;Yan L Liu;S. Syngal;Walid H Aldoori;Edward Giovannucci
影响因子：
45.3
作者：
Jayne, David G.;Guillou, Pierre J.;Brown, Julia M.
通讯作者：
Brown, Julia M.
影响因子：
9.6
作者：
K. Yasuda;N. Shiraishi;Y. Adachi;M. Inomata;Koichi Sato;S. Kitano
通讯作者：
K. Yasuda;N. Shiraishi;Y. Adachi;M. Inomata;Koichi Sato;S. Kitano
影响因子：
3.8
作者：
P. Clavien;J. Sanabria;S. Strasberg
通讯作者：
P. Clavien;J. Sanabria;S. Strasberg