腹腔镜胆囊切除术后并发症的危险因素分析。

Analysis of risk factors for complications after laparoscopic cholecystectomy.

作者信息

Fu Jing-Nan, Liu Shu-Chang, Chen Yi, Zhao Jie, Ma Tao

机构信息

Department of Minimally Invasive Surgery, Characteristics Medical Center of Chinese People Armed Police Force, Tianjin, China.

Department of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.

出版信息

Heliyon. 2023 Aug 3;9(8):e18883. doi: 10.1016/j.heliyon.2023.e18883. eCollection 2023 Aug.

DOI:10.1016/j.heliyon.2023.e18883

PMID:37600366

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10432690/

Abstract

UNLABELLED

To analyze the risk factors of complications after laparoscopic cholecystectomy in 478 patients in our hospital.

METHODS

The clinical data of 478 patients who underwent laparoscopic cholecystectomy in our hospital from March 2018 to September 2022 were collected, and the occurrence of postoperative complications and related risk factors were analyzed.

RESULTS

A total of 36 patients (7.53%) had complications, including 9 cases (1.88%) of abdominal hemorrhage, 8 cases (1.67%) of bile duct injury, and 19 cases (3.97%) of biliary fistula. Univariate analysis showed that adhesions of Calot triangle, anatomical variation and gallbladder wall thickness greater than 5 mm were associated with postoperative complications (all P < 0.05). Multivariate analysis showed that: Calot triangle adhesion (OR = 3.041, 95%CI = 1.422-6.507), anatomical variation (OR = 4.368, 95%CI = 1.764-10.813) and gallbladder wall thickening (OR = 2.827, 95%CI = 1.422-6.507). 95%CI = 1.274-6.275) were independent risk factors for complications after laparoscopic cholecystectomy (all P < 0.05).

CONCLUSION

In order to reduce the occurrence of postoperative complications, the risk factors of LC should be well understood and the preoperative preparation should be made.

摘要

未标注

分析我院478例腹腔镜胆囊切除术后并发症的危险因素。

方法

收集我院2018年3月至2022年9月行腹腔镜胆囊切除术的478例患者的临床资料，分析术后并发症的发生情况及相关危险因素。

结果

共有36例患者（7.53%）发生并发症，其中腹腔出血9例（1.88%），胆管损伤8例（1.67%），胆瘘19例（3.97%）。单因素分析显示，胆囊三角粘连、解剖变异及胆囊壁厚度大于5mm与术后并发症相关（均P<0.05）。多因素分析显示：胆囊三角粘连（OR=3.041，95%CI=1.422-6.507）、解剖变异（OR=4.368，95%CI=1.764-10.813）及胆囊壁增厚（OR=2.827，95%CI=1.422-6.507）。95%CI=1.274-6.275）是腹腔镜胆囊切除术后并发症的独立危险因素（均P<0.05）。