Abstract:Objective To explore the risk factors of vascular injury in laparoscopic radical gastrectomy and its influence on postoperative recovery. Methods The clinical data of 136 consecutive patients with gastric cancer who underwent laparoscopic radical gastrectomy in Department of Gastrointestinal Surgery, the First Hospital of Jiaxing Zhejiang Province, from January 2015 to December 2017 were retrospectively analyzed. The risk factors of vascular injury and its effect on postoperative recovery were analyzed. Results Among the 136 patients, 84 patients were in the injured group and 52 patients were in the non-injured group. In the comparison study between the injured group and the non-injured group, age > 55 years (OR = 2.304, 95%CI: 1.072-4.950, P < 0.05), diameter of tumor>3.5 cm (OR = 2.318, 95%CI: 1.027-5.232, P < 0.05), lymph node metastasis (OR = 5.015, 95%CI: 1.348-18.656, P < 0.05) were independent risk factors for intraoperative vascular injury. Compared with the non-injured group, the postoperative hospitalization days were significantly longer in the injured group (P < 0.05), and the amount of blood loss was higher (P < 0.01). Postoperative complications were more likely to occur when intraoperative blood loss was 200 mL or above (P < 0.01). Conclusion Advanced age, large tumor and lymph node invasion are independent risk factors for vascular injury in laparoscopic radical gastrectomy. When vascular injury occurs during the operation, the postoperative hospitalization time is significantly prolonged, even affecting the occurrence of complications.
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