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在肿瘤胃食管手术中术后并发症的发生率:一项横断面研究。

Prevalence of postoperative complications in oncologic gastro-esophageal surgeries: a cross-sectional study.

机构信息

Liga Contra o Câncer - Natal (RN) - Brazil.

Universidade Potiguar - Medical School - Health School - Natal (RN) - Brazil.

出版信息

Acta Cir Bras. 2024 Jul 22;39:e394424. doi: 10.1590/acb394424. eCollection 2024.

Abstract

PURPOSE

This study evaluated the prevalence of complications in the postoperative period of esophagogastric oncological surgeries.

METHODS

We conducted a retrospective cross-sectional study, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The study size implied 163 patients who underwent surgical treatment for esophageal and gastric cancer and experienced postoperative complications between January 2018 and December 2022. These patients were treated at the Liga Norte Riograndense Contra o Câncer, a high-complexity oncology center and a reference for cancer treatment in Northeast Brazil.

RESULTS

The prevalence found was 88.3%. The most prevalent complications were Clavien-Dindo I and II, and infection was the most common. According to our statistics analysis, hypoalbuminemia showed a positive correspondence with the occurrence of postoperative complications (odds ratio = 8.60; 95% confidence interval 1.35-54.64, p = 0.0358).

CONCLUSIONS

Postoperative complications of gastroesophageal surgeries increase patient morbidity and mortality.

摘要

目的

本研究评估了食管胃肿瘤学手术后并发症的发生率。

方法

我们进行了一项回顾性的横断面研究,遵循《观察性研究的报告规范》(STROBE)指南。研究规模包括 2018 年 1 月至 2022 年 12 月期间在 Liga Norte Riograndense Contra o Câncer 接受手术治疗的 163 名食管和胃癌患者,该中心是巴西东北部的一个高复杂性肿瘤中心,也是癌症治疗的参考中心。

结果

发现的患病率为 88.3%。最常见的并发症是 Clavien-Dindo I 和 II 级,感染是最常见的并发症。根据我们的统计分析,低蛋白血症与术后并发症的发生呈正相关(优势比=8.60;95%置信区间 1.35-54.64,p=0.0358)。

结论

胃食管手术的术后并发症增加了患者的发病率和死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4e/11262764/affa857fa349/1678-2674-acb-39-e394424-gf01.jpg

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