Risk factor analysis of postoperative complications in gastric carcinoma patients complicated with liver cirrhosis / 中华胃肠外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To analyze the risk factors of postoperative complications in gastric carcinoma patients complicated with liver cirrhosis.</p><p><b>METHODS</b>A retrospective research of 41 gastric cancer patients with liver cirrhosis who underwent surgical therapy was performed. The multivariate Logistic regression analysis was carried out to determine risk factors of postoperative complications.</p><p><b>RESULTS</b>There were no postoperative death in this cohort. Twenty-seven(65.9%) patients developed postoperative complications. As determined by the Logistic regression analysis, Child-Pugh score(OR=27.96, 95% CI1.16-672.23), albumin level(OR=17.98, 95% CI1.28-253.36) and intraoperative blood loss(OR=10.60, 95% CI1.21-92.82) were independent risk factors of postoperative complications.</p><p><b>CONCLUSION</b>As for gastric cancer patients with liver cirrhosis, positive perioperative management, adjustment of Child-Pugh classifications score, following damage control principle during operation and reducing the intraoperative bleeding may decrease the morbidity of postoperative complications.</p>