腹腔镜直肠癌低位前切除术后吻合口漏的危险因素分析

发布时间：2018-04-01 06:18

  本文选题：腹腔镜　切入点：直肠癌　出处：《中国微创外科杂志》2017年10期

【摘要】：目的探讨腹腔镜直肠癌低位前切除术后吻合口漏的影响因素。方法回顾性分析2008年7月~2016年12月我科腹腔镜直肠癌低位前切除术568例的临床资料。对可能影响吻合口漏发生的因素进行单因素分析和多因素logistic回归分析。结果出现吻合口漏22例(3.9%),其中A级10例,B级8例,C级4例。单因素分析结果显示年龄、BMI、肿瘤距肛缘距离、术中是否保留左结肠动脉与腹腔镜直肠癌低位前切除术后吻合口漏有关(P0.05)。多因素分析结果显示肿瘤距肛缘距离≤5 cm是腹腔镜直肠癌低位前切除术后吻合口漏的独立危险因素(OR=0.054,95%CI 0.005~0.556,P=0.014),术中保留左结肠动脉是吻合口漏的保护因素(OR=31.950,95%CI 2.804~364.056,P=0.005)。结论低位肿瘤是腹腔镜直肠癌低位前切除术后吻合口漏的独立危险因素,而术中保留左结肠动脉是吻合口漏的保护因素。
[Abstract]:Objective to investigate the influencing factors of anastomotic leakage after laparoscopic low anterior resection of rectal cancer.Methods the clinical data of 568 cases of low anterior resection of rectal cancer from July 2008 to December 2016 were retrospectively analyzed.Univariate analysis and multivariate logistic regression analysis were performed to analyze the factors that might affect the occurrence of anastomotic leakage.Results there were 22 cases of anastomotic leakage, including 10 cases of grade A, 8 cases of grade B and 4 cases of grade C.Univariate analysis showed that the age of BMI, the distance from the tumor to the anal margin, the preservation of the left colon artery during the operation and the leakage of anastomotic stoma after laparoscopic low anterior resection of rectal cancer were related to P0.05.Multivariate analysis showed that the distance from the tumor to the anal margin 鈮，

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