Surgical Complications and Its Influence Factors of Radical Operation in Elderly Colorectal Cancer Patients_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIJian-ye ¹ , LIGuo-bin ¹ ,  GENGQiang ¹ , RENYuan-man ²

1. Department of General Surgery, The Second People's Hospital of Lianyungang City, Lianyungang 222023, Jiangsu Province, China;
2. Department of General Surgery, The Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030006, Shanxi Province, China;

Corresponding?author：

GENGQiang, Email: lyg8616@126.com

Keywords：

Colorectal neoplasms; Radical surgery; Postoperative complication; Influence factor; Elderly patient

DOI：

10.7507/1007-9424.20150121

Video：

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Objective To investigate the surgical complications and its influence factors of radical surgery in the treatment of elderly patients with colorectal cancer. Methods Two hundreds and sixteen patients with colorectal cancer who were treated in the Second People's Hospital of Lianyungang City from January 2010 to September 2014 as the research object, the clinical data were collected by the self-made general data questionnaire, and they were analyzed by descriptive statistics and logistic regression analysis using SPSS 19.0. Results For elderly patients with colorectal cancer radical operation, pulmonary infection and wound infection were the common complications.Single factor and logistic regression analysis showed that medical comorbidity, hypoproteinemia, operation time, Dukes staging, and smoking were risk factors of postoperative complications in the colorectal cancer patients. Conclusion For elderly patients with colorectal cancer underwent radical operation, pulmonary infection and wound infection are the common complications.It's occurrence by various factors.

Citation： LIJian-ye, LIGuo-bin, GENGQiang, RENYuan-man. Surgical Complications and Its Influence Factors of Radical Operation in Elderly Colorectal Cancer Patients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(4): 460-463. doi: 10.7507/1007-9424.20150121 Copy

1.	萬德森.老年人結直腸癌治療策略.中國腫瘤臨床與康復, 2013, 20(1):91-92.
2.	Tsikitis VL, Holubar SD, Dozois EJ, et al.Advantages of fast-track recovery after laparoscopic right hemicolectomy for colon cancer.Surg Endosc, 2010, 24(8):1911-1916.
3.	張清泉, 黃彬, 任煒, 等.結直腸癌手術并發癥及其影響因素分析.中華臨床醫師雜志:電子版, 2013, 7(23):10444-10447.
4.	孫勇, 何磊, 程元光, 等.高齡結直腸癌患者根治性手術的危險因素分析.安徽醫學, 2014, 35(10):1388-1391.
5.	楊廷翰, 蒲怡, 趙娜, 等.高齡結直腸癌患者快速流程的隨機對照研究.中國普外基礎與臨床雜志, 2010, 17(9):983-988.
6.	曲軍, 張鑫, 申占龍, 等.基于預測評分系統的高齡結直腸癌患者術后并發癥的預防策略.中華胃腸外科雜志, 2012, 15(3):276-279.
7.	陳世君, 王勇強.預防性使用抗生素時間與結直腸癌手術切口感染的關系.中國普外基礎與臨床雜志, 2010, 17(1):73-76.
8.	Platt JJ, Ramanathan ML, Crosbie RA, et al.C-reactive protein as a predictor of postoperative infective complications after curative resection in patients with colorectal cancer.Ann Surg Oncol, 2012, 19(13):4168-4177.
9.	高強, 竇倩慧, 方超, 等.影響結腸癌患者術后并發癥的多因素分析.中國普外基礎與臨床雜志, 2011, 18(2):159-163.
10.	Wydra J, Kruszewski W, Jasiński W, et al.Is age a risk factor of postoperative complications in colorectal cancer? Pol Przegl Chir, 2013, 85(9):491-495.
11.	陳建華.高齡結直腸癌患者圍手術期處理體會.山西醫藥雜志, 2014, 43(21):2530-2532.
12.	趙一新, 黃朝暉.結直腸癌患者手術并發癥情況和影響因素分析.中國醫藥導報, 2013, 10(23):127-129, 133.
13.	錢峻.結直腸腫瘤術后并發感染的危險因素分析.中華醫院感染學雜志, 2012, 22(2):286-287.
14.	徐臣光, 周斌.結直腸腫瘤術后切口感染原因分析及處理措施.浙江創傷外科, 2014, 19(4):608-610.
15.	高國棟.腹部手術切口感染相關危險因素研究.中華醫院感染學雜志, 2013, 23(2):323-325.
16.	蔡軼倫, 張慶紅, 姚詠明.肝癌患者術后手術部位感染的危險因素分析.中華醫院感染學雜志, 2013, 23(23):5724-5726.
17.	廖章元.106例高齡結直腸癌患者術后并發癥分析.結直腸肛門外科, 2007, 13(2):111-112.
18.	翁劍濱.中低位直腸前切除術后吻合口瘺原因分析及預防性造瘺的必要性.福建醫科大學, 2013.
19.	Law WL, Choi HK, Lee YM, et al.The impact of postoperative complications on long-term outcomes following curative resection for colorectal cancer.Ann Surg Oncol, 2007, 14(9):2559-2566.
20.	Artinyan A1, Orcutt ST, Anaya DA, et al.Infectious postoperative complications decrease long-term survival in patients undergoing curative surgery for colorectal cancer:a study of 12 075 patients.Ann Surg, 2015, 261(3):497-505.
21.	李曉霞, 唐元新.老年結腸癌患者預后影響因素分析.中國普外基礎與臨床雜志, 2011, 18(7):732-736.
22.	王鐵, 李宏宇, 李鑫磊, 等.老年結腸癌患者的外科治療.中國傷殘醫學, 2013, 21(2):9-10.
23.	陳曦.腹部切口全層縫合加皮下負壓引流預防術后切口感染.中華普通外科學文獻:電子版, 2014, 8(4):306-307.
24.	陳貴平, 李德川.高齡結直腸癌患者的外科治療和圍手術期處理.浙江臨床醫學, 2007, 9(11):1496.
25.	唐紅梅, 李文美, 孟文霄.分級心理護理對結直腸癌手術患者負性情緒和希望水平的影響.世界華人消化雜志, 2015, 23(6):1022-1027.

1. 萬德森.老年人結直腸癌治療策略.中國腫瘤臨床與康復, 2013, 20(1):91-92.
2. Tsikitis VL, Holubar SD, Dozois EJ, et al.Advantages of fast-track recovery after laparoscopic right hemicolectomy for colon cancer.Surg Endosc, 2010, 24(8):1911-1916.
3. 張清泉, 黃彬, 任煒, 等.結直腸癌手術并發癥及其影響因素分析.中華臨床醫師雜志:電子版, 2013, 7(23):10444-10447.
4. 孫勇, 何磊, 程元光, 等.高齡結直腸癌患者根治性手術的危險因素分析.安徽醫學, 2014, 35(10):1388-1391.
5. 楊廷翰, 蒲怡, 趙娜, 等.高齡結直腸癌患者快速流程的隨機對照研究.中國普外基礎與臨床雜志, 2010, 17(9):983-988.
6. 曲軍, 張鑫, 申占龍, 等.基于預測評分系統的高齡結直腸癌患者術后并發癥的預防策略.中華胃腸外科雜志, 2012, 15(3):276-279.
7. 陳世君, 王勇強.預防性使用抗生素時間與結直腸癌手術切口感染的關系.中國普外基礎與臨床雜志, 2010, 17(1):73-76.
8. Platt JJ, Ramanathan ML, Crosbie RA, et al.C-reactive protein as a predictor of postoperative infective complications after curative resection in patients with colorectal cancer.Ann Surg Oncol, 2012, 19(13):4168-4177.
9. 高強, 竇倩慧, 方超, 等.影響結腸癌患者術后并發癥的多因素分析.中國普外基礎與臨床雜志, 2011, 18(2):159-163.
10. Wydra J, Kruszewski W, Jasiński W, et al.Is age a risk factor of postoperative complications in colorectal cancer? Pol Przegl Chir, 2013, 85(9):491-495.
11. 陳建華.高齡結直腸癌患者圍手術期處理體會.山西醫藥雜志, 2014, 43(21):2530-2532.
12. 趙一新, 黃朝暉.結直腸癌患者手術并發癥情況和影響因素分析.中國醫藥導報, 2013, 10(23):127-129, 133.
13. 錢峻.結直腸腫瘤術后并發感染的危險因素分析.中華醫院感染學雜志, 2012, 22(2):286-287.
14. 徐臣光, 周斌.結直腸腫瘤術后切口感染原因分析及處理措施.浙江創傷外科, 2014, 19(4):608-610.
15. 高國棟.腹部手術切口感染相關危險因素研究.中華醫院感染學雜志, 2013, 23(2):323-325.
16. 蔡軼倫, 張慶紅, 姚詠明.肝癌患者術后手術部位感染的危險因素分析.中華醫院感染學雜志, 2013, 23(23):5724-5726.
17. 廖章元.106例高齡結直腸癌患者術后并發癥分析.結直腸肛門外科, 2007, 13(2):111-112.
18. 翁劍濱.中低位直腸前切除術后吻合口瘺原因分析及預防性造瘺的必要性.福建醫科大學, 2013.
19. Law WL, Choi HK, Lee YM, et al.The impact of postoperative complications on long-term outcomes following curative resection for colorectal cancer.Ann Surg Oncol, 2007, 14(9):2559-2566.
20. Artinyan A1, Orcutt ST, Anaya DA, et al.Infectious postoperative complications decrease long-term survival in patients undergoing curative surgery for colorectal cancer:a study of 12 075 patients.Ann Surg, 2015, 261(3):497-505.
21. 李曉霞, 唐元新.老年結腸癌患者預后影響因素分析.中國普外基礎與臨床雜志, 2011, 18(7):732-736.
22. 王鐵, 李宏宇, 李鑫磊, 等.老年結腸癌患者的外科治療.中國傷殘醫學, 2013, 21(2):9-10.
23. 陳曦.腹部切口全層縫合加皮下負壓引流預防術后切口感染.中華普通外科學文獻:電子版, 2014, 8(4):306-307.
24. 陳貴平, 李德川.高齡結直腸癌患者的外科治療和圍手術期處理.浙江臨床醫學, 2007, 9(11):1496.
25. 唐紅梅, 李文美, 孟文霄.分級心理護理對結直腸癌手術患者負性情緒和希望水平的影響.世界華人消化雜志, 2015, 23(6):1022-1027.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Surgical Complications and Its Influence Factors of Radical Operation in Elderly Colorectal Cancer Patients

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