Laura Mota Vieira Lima, Paula Costa Guimarães, Daniele de Oliveira Montenegro, Fernanda de Sousa Filgueira, José Gomes Neto Júnior, Ricardo Ney Cobucci, Kleyton Santos de Medeiros, Irami Araújo-Filho
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引用次数: 0
摘要
目的：本研究评估了食管胃肿瘤手术术后并发症的发生率：我们根据加强流行病学观察性研究报告（STROBE）指南进行了一项回顾性横断面研究。研究对象包括在2018年1月至2022年12月期间接受食管癌和胃癌手术治疗并出现术后并发症的163名患者。这些患者在Liga Norte Riograndense Contra o Câncer接受治疗，该中心是一家高复杂性肿瘤中心，也是巴西东北部癌症治疗的参考机构：发病率为 88.3%。最常见的并发症是克拉维恩-丁多并发症 I 和 II，感染是最常见的并发症。根据我们的统计分析，低白蛋白血症与术后并发症的发生呈正相关（几率比=8.60；95% 置信区间 1.35-54.64，P=0.0358）：胃食管手术术后并发症会增加患者的发病率和死亡率。
Prevalence of postoperative complications in oncologic gastro-esophageal surgeries: a cross-sectional study.
Purpose: This study evaluated the prevalence of complications in the postoperative period of esophagogastric oncological surgeries.
Methods: We conducted a retrospective cross-sectional study, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The study size implied 163 patients who underwent surgical treatment for esophageal and gastric cancer and experienced postoperative complications between January 2018 and December 2022. These patients were treated at the Liga Norte Riograndense Contra o Câncer, a high-complexity oncology center and a reference for cancer treatment in Northeast Brazil.
Results: The prevalence found was 88.3%. The most prevalent complications were Clavien-Dindo I and II, and infection was the most common. According to our statistics analysis, hypoalbuminemia showed a positive correspondence with the occurrence of postoperative complications (odds ratio = 8.60; 95% confidence interval 1.35-54.64, p = 0.0358).
Conclusions: Postoperative complications of gastroesophageal surgeries increase patient morbidity and mortality.
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