中国中西医结合外科杂志Issue(1)：6-10,5.DOI:10.3969/j.issn.1007-6948.2016.01.002
肝门部胆管癌术后严重并发症的回顾性分析
A Retrospective Study of Risk Factors on Serious Postoperative Complication in Hilar Cholangiocarcino-ma
陈浩 1周洋 2刘占兵 3赵建勋 1汪欣 1杨尹默1
作者信息
- 1. 北京大学第一医院普通外科 北京 100034
- 2. 天津市滨海新区中医医院外科 天津 300451
- 3. 北京市中日友好医院外科 北京 100029
- 折叠
摘要
Abstract
Objective To investigate the risk factors which work on the serious postoperative complication in patients with hilar cholangiocarcinoma. Methods Seventy-four cases of hilar cholangiocarcinoma treated by surgery were reviewed retrospectively. The logistic regression analysis was used to evaluate the risk factors of serious postoperative complications. Eight factors including gender, age, accompanied diseases, tumor type, pre⁃operative jaundice, preoperative albumin, preoperative liver function and operative manners were chosen as risk factors for simple and multiple logistic regression analysis. Defining P<0.05 for statistical significance. Results In this research, postoperative complications occurred in 23 of 74(31.1%). The univariate analysis showed four factors might work on the occurrence of the serious postoperative complications, including age(P=0.036), tumor type(0.045), preoperative liver function(P=0.001), and operative manner(P=0.012). The further mul⁃tivariate analysis showed that three of them played a role in the occurrence of the serious postoperative complica⁃tions. They were age(P=0.035), preoperative liver function(P=0.000) and operative manner(P=0.001). All of them related positively to the serious postoperative complications. Conclusion Age, preoperative liver function and operative manner were risk factors of serious postoperative complications in hilar cholangiocarcinoma.关键词
肝门部胆管癌/外科手术/并发症Key words
Hilar cholangiocarcinoma/surgery/complications分类
医药卫生引用本文复制引用
陈浩,周洋,刘占兵,赵建勋,汪欣,杨尹默..肝门部胆管癌术后严重并发症的回顾性分析[J].中国中西医结合外科杂志,2016,(1):6-10,5.
