CAJ | 학술논문

目的：探讨腹腔镜下直肠癌根治术患者术后并发症发生的相关因素。方法回顾性分析84例于腹腔镜下行直肠癌根治手术的患者的临床资料。结果84例患者术后并发症发生率为17．86％，发生率最高的是肺部感染（7．14％），其次是造口旁疝（3．57％）、伤口感染（3．57％）；术前伴肺部疾病（P＝0．028）、手术时间＞170 min（P＝0．002）和术中出血量≥300 ml（P＝0．013）为患者术后并发症发生的危险因素，危险程度由高到低为手术时间＞170 min（OR＝15．07，P＜0．001）、术前伴发肺部疾病（OR＝2．933，P＝0．005）、术中出血量≥300 ml（OR＝2．74，P＝0．004）。结论术前伴发肺部疾病、手术时间＞170 min和术中出血量≥300 ml为患者术后并发症发生的危险因素。
목적：탐토복강경하직장암근치술환자술후병발증발생적상관인소。방법회고성분석84례우복강경하행직장암근치수술적환자적림상자료。결과84례환자술후병발증발생솔위17．86％，발생솔최고적시폐부감염（7．14％），기차시조구방산（3．57％）、상구감염（3．57％）；술전반폐부질병（P＝0．028）、수술시간＞170 min（P＝0．002）화술중출혈량≥300 ml（P＝0．013）위환자술후병발증발생적위험인소，위험정도유고도저위수술시간＞170 min（OR＝15．07，P＜0．001）、술전반발폐부질병（OR＝2．933，P＝0．005）、술중출혈량≥300 ml（OR＝2．74，P＝0．004）。결론술전반발폐부질병、수술시간＞170 min화술중출혈량≥300 ml위환자술후병발증발생적위험인소。
Objective To study the related factors of postoperative complications in patients undergoing laparoscopic radical operation of rectal cancer .Methods Clinical data of 84 patients undergoing laparoscopic radical operation of rectal canc-er were analyzed retrospectively .Results Incidence rate of postoperative complications of 84 patients were 17.86%,the highest incidence was pulmonary infection (7.14%),followed by parastomal hernia (3.57%),and wound infection(3.57%);Preopera-tive pulmonary disease(P=0.028),operative time >170 minutes (P=0.002) and intraoperative blood loss≥300 ml(P=0.013) were associated with postoperative complications in laparoscopic-assisted colorectal cancer surgery .And from high to low, risk degree were operative time >170 minutes(OR=15.07,P<0.001),preoperative pulmonary disease (OR=2.933,P=0. 005),and intraoperative blood loss≥300 mL (OR=2.74,P=0.004).Conclusion Preoperative pulmonary disease,intraopera-tive blood loss and postoperative time are found to be the independent risk factors of complications for laparoscopic surgery in colorectal cancer .