Multivariate analysis of postoperative anastomotic leakage in patients with gastric carcinoma

doi:10.3969/j.issn.1004-583X.2019.12.003

Clinical Focus

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Multivariate analysis of postoperative anastomotic leakage in patients with gastric carcinoma

1. Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education)，
Department of Anesthesiology, Peking University Cancer Hospital & Institute，Beijing 100142, China；
2. Department of Anesthesiology, the First Affiliated Hospital of Jiamusi University, Jiamusi 154007，China

Online:2019-12-20 Published:2020-01-19
Contact: Corresponding author: Tan Hongyu，Email：maggitan@163.com

Abstract

Abstract: Objective To explore the influencing factors of postoperative anastomotic leakage in patients with gastric carcinoma.Methods The clinical data of 499 patients that underwent elective radical gastrectomy at Peking University Cancer Hospital from September 2016 to June 2018 were retrospectively reviewed. Logistic regression was used to analyze the related factors of postoperative anastomotic leakage. Results Among 499 patients with gastric carcinoma, a total of 23 cases (4.6%) had postoperative anastomotic leakage. And the factors related to the postoperative anastomotic leakage included large resection range (OR=2.633, P=0.045), intraoperative hypotension (OR=4.617, P=0.007), postoperative pain (OR=2.838, P=0.022) and drinking history (OR=2.809, P=0.022).Conclusion Large resection range, intraoperative hypotension, postoperative pain and drinking history were risk factors for postoperative anastomotic leakage.

Key words: stomach , neoplasms；anastomotic leak； pain, , postoperative；risk , factors

Ma Jiangtao1，2, Zeng Fanrong2, Zhang Yunxiao1, Li Shuo1, Yu Ling1, Tan Hongyu1. Multivariate analysis of postoperative anastomotic leakage in patients with gastric carcinoma[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2019.12.003.

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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2019.12.003

https://huicui.hebmu.edu.cn/EN/Y2019/V34/I12/1072

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Multivariate analysis of postoperative anastomotic leakage in patients with gastric carcinoma

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