A model to determine factors influencing intraoperative complications in sleeve gastrectomy.

IF 0.5 4区医学 Q4 SURGERY

Cirugia Y Cirujanos Pub Date : 2023-12-07 DOI:10.24875/CIRU.22000640

Srdjan S Putnik, Miroslav D Ilic, Srdjan M Stefanovic, Slobodan S Milisavljevic

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引用次数: 0

Abstract

Objective: The study presents a logistic regression model describing the factors leading to intraoperative complications in laparoscopic sleeve gastrectomy (LSG) and a detailed description of the intraoperative complications that occurred in our operations.

Material and methods: The study was designed as a retrospective and cohort study. It includes patients who underwent laparoscopic sleeve gastrectomy between January 2008 and December 2020.

Results: The study included 257 patients. The mean (SD) age of all patients included in the study was 40.28 (9.58) years. The body mass index of our patients ranged from 31.2 to 86.6 kg/m2. The Stepwise Backward model was used (Cox and Snell R2 = 0.051, Nagelkerke R2 = 0.072, Hosmer-Lemesxow χ2 = 1.968, df = 4, p = 0.742, overall model accuracy of 70.4%). The model shows that pre-operative diabetes mellitus or hypertension Stage 3 significantly increases the probability or risk of intraoperative complications.

Conclusions: The study shows which intraoperative complications occur in LSG, how they can be remedied and which factors can lead to them and influence the outcome of the operation itself. The recognition and successful treatment of intraoperative complications are very important as they reduce the number of reoperations and treatment costs.

查看原文本刊更多论文

确定袖状胃切除术术中并发症影响因素的模型。

目的：该研究提出了一个逻辑回归模型，描述了导致腹腔镜袖带胃切除术（LSG）术中并发症的因素，并详细描述了我们手术中出现的术中并发症：本研究为回顾性队列研究。研究对象包括2008年1月至2020年12月期间接受腹腔镜袖带胃切除术的患者：研究共纳入 257 名患者。所有患者的平均（标清）年龄为 40.28（9.58）岁。患者的体重指数从 31.2 kg/m2 到 86.6 kg/m2 不等。采用逐步后向模型（Cox 和 Snell R2 = 0.051，Nagelkerke R2 = 0.072，Hosmer-Lemesxow χ2 = 1.968，df = 4，p = 0.742，模型总体准确率为 70.4%）。该模型显示，术前糖尿病或高血压 3 期会显著增加术中并发症的概率或风险：该研究显示了LSG术中会出现哪些术中并发症，如何对其进行补救，以及哪些因素会导致术中并发症并影响手术本身的结果。识别并成功治疗术中并发症非常重要，因为这可以减少再次手术的次数和治疗费用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.