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.	万德森.老年人结直肠癌治疗策略.中国肿瘤临床与康复, 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.	张清泉, 黄彬, 任炜, 等.结直肠癌手术并发症及其影响因素分析.中华临床医师杂志:电子版, 2013, 7(23):10444-10447.
4.	孙勇, 何磊, 程元光, 等.高龄结直肠癌患者根治性手术的危险因素分析.安徽医学, 2014, 35(10):1388-1391.
5.	杨廷翰, 蒲怡, 赵娜, 等.高龄结直肠癌患者快速流程的随机对照研究.中国普外基础与临床杂志, 2010, 17(9):983-988.
6.	曲军, 张鑫, 申占龙, 等.基于预测评分系统的高龄结直肠癌患者术后并发症的预防策略.中华胃肠外科杂志, 2012, 15(3):276-279.
7.	陈世君, 王勇强.预防性使用抗生素时间与结直肠癌手术切口感染的关系.中国普外基础与临床杂志, 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.	高强, 窦倩慧, 方超, 等.影响结肠癌患者术后并发症的多因素分析.中国普外基础与临床杂志, 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.	陈建华.高龄结直肠癌患者围手术期处理体会.山西医药杂志, 2014, 43(21):2530-2532.
12.	赵一新, 黄朝晖.结直肠癌患者手术并发症情况和影响因素分析.中国医药导报, 2013, 10(23):127-129, 133.
13.	钱峻.结直肠肿瘤术后并发感染的危险因素分析.中华医院感染学杂志, 2012, 22(2):286-287.
14.	徐臣光, 周斌.结直肠肿瘤术后切口感染原因分析及处理措施.浙江创伤外科, 2014, 19(4):608-610.
15.	高国栋.腹部手术切口感染相关危险因素研究.中华医院感染学杂志, 2013, 23(2):323-325.
16.	蔡轶伦, 张庆红, 姚咏明.肝癌患者术后手术部位感染的危险因素分析.中华医院感染学杂志, 2013, 23(23):5724-5726.
17.	廖章元.106例高龄结直肠癌患者术后并发症分析.结直肠肛门外科, 2007, 13(2):111-112.
18.	翁剑滨.中低位直肠前切除术后吻合口瘘原因分析及预防性造瘘的必要性.福建医科大学, 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.	李晓霞, 唐元新.老年结肠癌患者预后影响因素分析.中国普外基础与临床杂志, 2011, 18(7):732-736.
22.	王铁, 李宏宇, 李鑫磊, 等.老年结肠癌患者的外科治疗.中国伤残医学, 2013, 21(2):9-10.
23.	陈曦.腹部切口全层缝合加皮下负压引流预防术后切口感染.中华普通外科学文献:电子版, 2014, 8(4):306-307.
24.	陈贵平, 李德川.高龄结直肠癌患者的外科治疗和围手术期处理.浙江临床医学, 2007, 9(11):1496.
25.	唐红梅, 李文美, 孟文霄.分级心理护理对结直肠癌手术患者负性情绪和希望水平的影响.世界华人消化杂志, 2015, 23(6):1022-1027.

1. 万德森.老年人结直肠癌治疗策略.中国肿瘤临床与康复, 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. 张清泉, 黄彬, 任炜, 等.结直肠癌手术并发症及其影响因素分析.中华临床医师杂志:电子版, 2013, 7(23):10444-10447.
4. 孙勇, 何磊, 程元光, 等.高龄结直肠癌患者根治性手术的危险因素分析.安徽医学, 2014, 35(10):1388-1391.
5. 杨廷翰, 蒲怡, 赵娜, 等.高龄结直肠癌患者快速流程的随机对照研究.中国普外基础与临床杂志, 2010, 17(9):983-988.
6. 曲军, 张鑫, 申占龙, 等.基于预测评分系统的高龄结直肠癌患者术后并发症的预防策略.中华胃肠外科杂志, 2012, 15(3):276-279.
7. 陈世君, 王勇强.预防性使用抗生素时间与结直肠癌手术切口感染的关系.中国普外基础与临床杂志, 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. 高强, 窦倩慧, 方超, 等.影响结肠癌患者术后并发症的多因素分析.中国普外基础与临床杂志, 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. 陈建华.高龄结直肠癌患者围手术期处理体会.山西医药杂志, 2014, 43(21):2530-2532.
12. 赵一新, 黄朝晖.结直肠癌患者手术并发症情况和影响因素分析.中国医药导报, 2013, 10(23):127-129, 133.
13. 钱峻.结直肠肿瘤术后并发感染的危险因素分析.中华医院感染学杂志, 2012, 22(2):286-287.
14. 徐臣光, 周斌.结直肠肿瘤术后切口感染原因分析及处理措施.浙江创伤外科, 2014, 19(4):608-610.
15. 高国栋.腹部手术切口感染相关危险因素研究.中华医院感染学杂志, 2013, 23(2):323-325.
16. 蔡轶伦, 张庆红, 姚咏明.肝癌患者术后手术部位感染的危险因素分析.中华医院感染学杂志, 2013, 23(23):5724-5726.
17. 廖章元.106例高龄结直肠癌患者术后并发症分析.结直肠肛门外科, 2007, 13(2):111-112.
18. 翁剑滨.中低位直肠前切除术后吻合口瘘原因分析及预防性造瘘的必要性.福建医科大学, 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. 李晓霞, 唐元新.老年结肠癌患者预后影响因素分析.中国普外基础与临床杂志, 2011, 18(7):732-736.
22. 王铁, 李宏宇, 李鑫磊, 等.老年结肠癌患者的外科治疗.中国伤残医学, 2013, 21(2):9-10.
23. 陈曦.腹部切口全层缝合加皮下负压引流预防术后切口感染.中华普通外科学文献:电子版, 2014, 8(4):306-307.
24. 陈贵平, 李德川.高龄结直肠癌患者的外科治疗和围手术期处理.浙江临床医学, 2007, 9(11):1496.
25. 唐红梅, 李文美, 孟文霄.分级心理护理对结直肠癌手术患者负性情绪和希望水平的影响.世界华人消化杂志, 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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