Risk factors associated with postoperative complications after liver cancer resection surgery in western China View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-10-02

AUTHORS

Yanjie Hu, Siyu Zeng, Lele Li, Yuanchen Fang, Xiaozhou He

ABSTRACT

OBJECTIVES: Postoperative complications increase the workload of nursing staff as well as the financial and mental distress suffered by patients. The objective of this study is to identify clinical factors associated with postoperative complications after liver cancer resection surgery. METHODS: Data from liver cancer resections occurring between January 1st, 2019 to December 31st, 2019 was collected from the Department of Liver Surgery in West China Hospital of Sichuan University. The Kruskal-Wallis test and logistic regression were used to perform single-factor analysis. Stepwise logistic regression was used for multivariate analysis. Models were established using R 4.0.2 software. RESULTS: Based on data collected from 593 cases, the single-factor analysis determined that there were statistically significant differences in BMI, incision type, incision length, duration, incision range, and bleeding between cases that experienced complications within 30 days after surgery and those did not. Stepwise logistic regression models based on Kruskal-Wallis test and single-factor logistic regression determined that BMI, incision length, and duration were the primary factors causing complications after liver resection. The adjust OR of overweight patients and patients with obesity (stage 1) compared to low weight patients were 0.12 (95% CI:0.02-0.72) with p = 0.043 and 0.18 (95% CI:0.03-1.00) with p = 0.04, respectively. An increase of 1 cm in incision length increased the relative risk by 13%, while an increase of 10 min in surgical duration increased the relative risk by 15%. CONCLUSIONS: The risk of postoperative complications after liver resection can be significantly reduced by controlling factors such as bleeding, incision length, and duration of the surgery. More... »

PAGES

64

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12962-021-00318-z

DOI

http://dx.doi.org/10.1186/s12962-021-00318-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1141599630

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34600552


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