机器人外科学杂志（中英文）2025，Vol.6Issue(5)：802-807,6.DOI:10.12180/j.issn.2096-7721.2025.05.020
基于泊松回归的机器人辅助结直肠癌手术并发症危险因素分析
Risk factor analysis of complications in robot-assisted surgery for colorectal cancer based on Poisson regression
摘要
Abstract
Objective:To analyze risk factors for the occurrence and types of postoperative complications in robot-assisted colorectal cancer surgery using a Poisson regression model.Methods:Retrospective data from 100 patients who underwent robot-assisted surgery for colorectal cancer at the First Affiliated Hospital of Xi'an Jiaotong University from June 2023 to June 2024 were collected.Univariate analysis and Poisson regression model were used to identify risk factors associated with the number of complication types.Results:Postoperative complications occurred in 27%of patients.Pareto chart analysis revealed that"0 complication type"and"1 complication type"accounted for 91%of cases,categorized as"critical items"(common events).Univariate analysis identified ASA classification,age≥65 years,lack of biannual maintenance for the surgical robot,and mid-to-low rectal cancer as risk factors for increased complication types(P<0.05).Correlation analysis showed a positive association between these four factors and complication multiplicity(P<0.001).Poisson regression further confirmed ASA class Ⅲ,tumor stage Ⅲ/Ⅳ,mid-to-low rectal cancer,comorbidities,and lack of biannual robot maintenance as risk factors,while upper rectal cancer and BMI≥25 kg/m2 were protective factors.Conclusion:The number of postoperative complications after robot-assisted surgery for colorectal cancer is influenced by multiple factors.Clinicians should prioritize interventions for ASA class Ⅲ,irregular robot maintenance,advanced tumor stages(Ⅲ/Ⅳ),mid-to-low rectal cancer,and comorbidities,which negatively impact outcomes.关键词
结直肠癌/机器人辅助手术/并发症/危险因素/泊松回归Key words
Colorectal Cancer/Robot-assisted Surgery/Complications/Risk Factor/Poisson Regression分类
临床医学引用本文复制引用
赵朋伟,黄非,马静,乔莉娜,胡晨浩..基于泊松回归的机器人辅助结直肠癌手术并发症危险因素分析[J].机器人外科学杂志（中英文）,2025,6(5):802-807,6.基金项目
陕西省重点研发计划项目(2022SF-432)Key R&D Plan Project of Shaanxi Province(2022SF-432) （2022SF-432）
