医学
肠梗阻
结直肠癌
单变量分析
逻辑回归
入射(几何)
结直肠外科
多元分析
腹腔镜手术
外科
结肠切除术
腹腔镜检查
癌症
内科学
腹部外科
物理
光学
出处
期刊:PubMed
[National Institutes of Health]
日期:2014-04-01
卷期号:17 (4): 361-4
被引量:4
摘要
To investigate the associated factors for postoperative ileus following radical resection for colorectal cancer.Clinical data of 1366 colorectal cancer patients undergoing radical resection by the same surgical team in our hospital from January 2000 to September 2011 were analyzed retrospectively. Univariate analysis and multivariate logistic regression analysis were used to identify the associated factors of postoperative ileus.A total of 70 patients(5.1%) developed postoperative ileus. Univariate and multivariate analyses showed that N2(OR=1.893, 95%CI:1.083-3.306), history of colorectal cancer resection(OR=4.899, 95%CI:1.490-16.110), preoperative obstruction (OR=2.616, 95%CI:1.297-5.280), right hemicolectomy(OR=2.024, 95%CI:1.052-3.894) and left hemicolectomy(OR=3.030, 95%CI:1.401-6.550) were risk factors for postoperative ileus following radical resection for colorectal cancer, while laparoscopic operation(OR=0.520, 95%CI:0.319-0.849) was protective.Postoperative ileus following radical resection for colorectal cancer is associated with surgical procedures. Laparoscopic colorectal resection can reduce the incidence of postoperative ileus.
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