腹腔镜外科杂志2024，Vol.29Issue(3)：184-188,5.DOI:10.13499/j.cnki.fqjwkzz.2024.03.184
腹腔镜胰腺中段切除术后并发胆囊结石的危险因素分析
Risk factors analysis of cholecystolithiasis after laparoscopic central pancreatectomy
摘要
Abstract
Objective:To investigate the influencing factors of cholecystolithiasis after laparoscopic central pancreatectomy.Methods:The clinical data and follow-up data of 58 patients who underwent laparoscopic central pancreatectomy(LCP)from Jun.2021 to Aug.2023 were retrospectively analyzed.The patients were divided into two groups according to whether they had cholecystolithiasis after surgery,and the influencing factors of concurrent cholecystolithiasis in LCP patients were analyzed.Results:In 58 LCP patients,postoperative gallstones occurred in 17 patients,with a complication rate of 29.3%.Statistical analysis showed that postoperative weight loss(≥5%),pancreatic fistula(grade B/C),delayed gastric emptying,BMI and octreotide dosage were statistically significantly different between the two groups(P<0.05).Multivariate logistic regression analysis showed that postoperative excessive weight loss(OR=7.156,P<0.05),pancreatic fistula(OR=8.494,P<0.05),BMI(OR=1.391,P<0.05)were independent risk factors for gall-stone after LCP.Conclusions:Postoperative excessive weight loss,pancreatic fistula and BMI are independent risk factors for postopera-tive cholecystolithiasis after LCP,and can increase the risk of postoperative gallstones in LCP patients.In perioperative treatment,the identification and evaluation of risk factors should be strengthened,and clinical intervention should be carried out according to the patients'condition to reduce the occurrence of biliary tract complications after LCP.关键词
胰腺中段切除术/腹腔镜检查/术后并发症/胆囊结石病/危险因素Key words
Central pancreatectomy/Laparoscopy/Postoperative complications/Cholecystolithiasis/Risk factors analysis分类
医药卫生引用本文复制引用
袁天,熊光冰,冀旭,乔梁,汪小祥,朱峰..腹腔镜胰腺中段切除术后并发胆囊结石的危险因素分析[J].腹腔镜外科杂志,2024,29(3):184-188,5.基金项目
国家自然科学基金青年科学基金项目(81902499) （81902499）
国家自然科学基金面上项目(81874205) （81874205）
2023年同济医院科研基金重点项目(2023A18) （2023A18）
