Risk factors and prophylaxis for complications of transumbilical single-port laparoscopic cholecystectomy
-
摘要:
目的分析经脐单孔腹腔镜胆囊切除术并发症发生的影响因素,并探讨其防治方法。方法回顾性分析2012年1月-2014年12月在上海市嘉定区中心医院行经脐单孔腹腔镜胆囊切除术的120例患者的临床资料,观察性别、年龄、BMI、身高、基础疾病(高血压、糖尿病、甲亢)、手术医师级别、手术时间、术中出血量等因素对术后并发症的影响。通过单因素和多因素Logistic回归分析确定相关影响因素。结果 120例患者中有10例发生并发症,发生率为8.3%。其中切口感染4例,脐疝2例,出血2例,腹腔器官损伤2例。经单因素分析,筛选出BMI、身高、基础疾病、手术医师级别、手术时间、术中出血量对术后并发症发生的影响差异均有统计学意义(P值均<0.05);Logistic多因素分析显示基础疾病和手术时间两个指标差异均有统计学意义(P值均<0.01)。结论基础疾病、手术时间是经脐单孔腹腔镜胆囊切除术并发症的独立影响因素,针对这些影响因素制订合适的干预对策有利于降低经脐单孔腹腔镜胆囊切除术的并发症发生率。
Abstract:Objective To investigate the risk factors for the complications of transumbilical single- port laparoscopic cholecystectomy( TUSPLC) and to explore the prophylactic methods. Methods The clinical data of 120 patients undergoing TUSPLC in our hospital from January 2012 to December 2014 were retrospectively analyzed. The association of different factors with the complications was analyzed,including sex,age,body mass index( BMI),height,underlying diseases( hypertension,diabetes,and hyperthyroidism),surgeon level,operation time,and intraoperative blood loss. The risk factors were determined by univariate and multivariate logistic regression analyses. Results The incidence of the complications of TUSPLC was 8. 3%( 10 /120),including surgical site infection( 4 cases),umbilical hernia( 2cases),hemorrhage( 2 cases),and intra- abdominal organ injury( 2 cases). The univariate logistic regression analysis indicated that BMI,height,underlying diseases,surgeon level,operation time,and intra- operative blood loss were risk factors for the complications of TUSPLC( all P < 0. 05). The multivariate logistic regression analysis showed that underlying diseases and operation time were independent risk factors for the complications of TUSPLC( P < 0. 01). Conclusion The underlying diseases and operation time are independent risk factors for the complications of TUSPLC,so appropriate intervention strategies for these factors could be developed to reduce the incidence of the complications of TUSPLC.
计量
- 文章访问数: 1681
- HTML全文浏览量: 12
- PDF下载量: 419
- 被引次数: 0