Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (4): 37-41.doi: 10.6040/j.issn.1671-7554.0.2022.0917

• 临床医学 • Previous Articles    

Risk factors of pulmonary complications after radical gastrectomy in 443 cases

MU Yanxi1, LI Jinzhou1, CHEN Kang1, LIANG Hongying2, YAO Yalong1, WANG Wenjie1, CHEN Xiao1   

  1. 1. Department of General Surgery;
    2. Pulmonary Function Room, Second Hospital of Lanzhou University, Lanzhou 730000, Gansu, China
  • Published:2023-04-11

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Abstract: Objective To explore the risk factors of postoperative pulmonary complications(PPCs)after radical gastrectomy for gastric cancer, and to provide individualized preventative and treatment plans. Methods Clinical data of 443 patients with gastric cancer during Jan. 2019 and Mar. 2021 were retrospectively analyzed. The clinicopathological features were statistically analyzed, and the risk factors of PPCs were determined with binary Logistic regression. Results The incidence of PPCs was 18.1%(80/443), that of pulmonary infection and pleural effusion were 12.4%(55/443)and 11.7%(52/443), respectively. People with PPCs needed longer hospital stay than those without. Logistic regression analysis showed that age ≥60 years (OR=0.424, 95%CI: 0.241-0.746), diabetes mellitus(OR=0.318, 95%CI: 0.146-0.693), per minute maximum ventilatory volume(MVV)(%)<85%(OR=0.509, 95%CI: 0.297-0.874), intraoperative blood loss ≥200 mL(OR=0.496, 95%CI: 0.276-0.797)and postoperative anastomotic complications(OR=4.038, 95%CI: 1.250-13.049)were independent risk factors for PPCs. Conclusion Gastric cancer patients with age ≥60 years, diabetes history, MVV(%)<85%, intraoperative blood loss ≥200 mL, and postoperative anastomotic complications have a high risk for PPCs.

Key words: Radical gastrectomy, Postoperative pulmonary complications, Risk factors

CLC Number: 

  • R735.2
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