Multivariate analysis of postoperative anastomotic leakage in patients with gastric carcinoma

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

Clinical Focus

Previous Articles Next Articles

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.

Add to citation manager EndNote|Ris|BibTeX

URL: http://www.lchc.cn/EN/10.3969/j.issn.1004-583X.2019.12.003

http://www.lchc.cn/EN/Y2019/V34/I12/1072

[1]	Zhao Xueting, Bai Jiawen, Sun Jun. Analysis of risk factors for liver fibrosis in metabolic dysfunction-associated fatty liver disease and construction of a nomogram [J]. Clinical Focus, 2025, 40(5): 417-422.
[2]	Xiao Ke, Wang Qi. Clinical characteristics and risk factor analysis of type 2 diabetes mellitus complicated with cryptococcal meningitis [J]. Clinical Focus, 2025, 40(5): 423-427.
[3]	Wang Zhuangzhuang, Ren Huan, Liu Yanting, Tian Chunlei. Construction of a nomogram to predict postoperative hydrocephalus in patients with aneurysmal subarachnoid hemorrhage based on the Dryad database and its validation [J]. Clinical Focus, 2025, 40(4): 313-319.
[4]	Zhao Shiliang, Niu Yanguo, Zhao Yanmin, Li Junqing, Hong Li, Wang Xian. Factors influencing cognitive dysfunction after interventional surgery for intracranial aneurysms: A PSM study [J]. Clinical Focus, 2025, 40(4): 320-324.
[5]	Xu Huifeng, Jin Yanyong, Gou Ruolan, Hu Mingzhe. Risk factors for hydrocephalus in children with cerebral hemorrhage and its prediction model [J]. Clinical Focus, 2025, 40(4): 325-328.
[6]	Tong Mingxia, Chen Ke, Xiang Xiaocong, Zhou Lifeng. Analysis of lean metabolic-associated fatty liver disease among young and middle-aged people and its risk factors [J]. Clinical Focus, 2025, 40(2): 128-132.
[7]	Qian Chenying, Yan Wenjun, Huang Yan, Zhao Zhi. Analysis of risk factors for multidrug-resistant bacterial infection in patients with decompensated cirrhosis [J]. Clinical Focus, 2025, 40(2): 143-146.
[8]	Pu Qian, Cheng Gang, Dao Jiecao, Qi Zizhao, Dou Lele, Zhao Junfang, Zhang Wenjun, Guo Caixia, Wang Yingying. Risk factors for constipation in patients with chronic kidney disease in Gansu province: a single-center study [J]. Clinical Focus, 2025, 40(1): 44-53.
[9]	Han Kaiyang, Feng Tongtong, Bao Ying. Analysis of clinical characteristics and risk factors of lupus nephritis combined with neuropsychiatric systemic lupus erythematosus in children [J]. Clinical Focus, 2024, 39(9): 812-815.
[10]	Jiao Fei, Yao Zhiping, Wang Langui. Risk factors of seizures in patients with central nervous system cystic echinococcosis [J]. Clinical Focus, 2024, 39(8): 712-715.
[11]	Sun Kejuan, Zhao Yuting, Zhang Xinjie, Ke Guiyin, Zhang Wenjie, Wu Suning. Current situation and influencing factors for the demand for “Internet+Nursing Service” among the elderly in Yuhua District, Shijiazhuang City, China [J]. Clinical Focus, 2024, 39(8): 734-740.
[12]	Liu Cuicui, Zhu Yafang, Lyu Wenjuan. Changes in pulmonary function, inflammatory factors, and clinical symptoms after smoking cessation in COPD patients with varied HRCT phenotypes [J]. Clinical Focus, 2024, 39(7): 625-629.
[13]	Liu Jiazhu, Liu Rong, Meng Limin, Guo Yinshu, Zhang Xiaobo, Ai Yiqin. Systematic evaluation of the incidence and the influencing factors of sleep disorders in breast cancer patients [J]. Clinical Focus, 2024, 39(6): 494-500.
[14]	Li Qian, Zhong Ping. Clinical characteristics and risk factors of Parkinson's disease with white matter lesions [J]. Clinical Focus, 2024, 39(3): 222-226.
[15]	Liu Yunfei, Chen Taoli, Wang Yanpeng, Sui Junzhao, Wang Qichuan. Effect of cinobufotalin combined therapy on cancer pain in patients with advanced non-squamous non-small cell lung cancer with Qi-Yin deficiency [J]. Clinical Focus, 2024, 39(12): 1101-1105.

Multivariate analysis of postoperative anastomotic leakage in patients with gastric carcinoma

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments