关键词: 胃肿瘤, 腹腔镜, 远端胃切除术, 术后感染, 危险因素

Abstract:

Objective To explore the related risk factors of infections after laparoscopically assisted distal gastrectomy(LADG)for gastric cancer,and to provide theoretical basis for preventing and controlling the infections. Methods The clinical data of 150 patients with gastric cancer who underwent LADG were analyzed,and the correlation between the incidence of infections and the age,gender,smoking history,level of white blood cells,pathological type,pathological stage,operation time,intraoperative blood loss,intraoperative blood transfusion,duration of indwelling catheter,and hospitalization time were observed. Results 22 patients got infection,and the postoperative infection rate was 14.7%.The lung infection,abdominal infection,and wound compliations were the most common complications.The related risk factors of infections were age above 60 years old,smoking,low level of white blood cells,late pathological stage,long operation time,more intraoperative blood loss,intraoperative blood transfusion,long duration of indwelling catheter,and hospitalization time(P<0.05). Conclusion The infection rate could be reduced by quiting the smoking,correcting the level of white blood cells,strengthening the nutrition,improving the immunity,shortening the operation time,reducing the intraoperative blood loss,decreasing the intraoperative blood transfusion,shortening the duration of indwelling catheter and hospitalization time.

Key words: stomach neoplasms, laparoscope, distal gastrectomy, postoperative infection, risk factor