Analysis of the Characteristics and the Influence Factors of Elderly Patients with Serious Complications after Radical Operation of Gastric Cancer

MO Hainan; HAN Kangchao; LIANG Yajie

Abstract：Objective To study the characteristics and the influence factors of elderly patients with serious complications after radical operation of gastric cancer, so as to reduce the incidence of complications in patients, and to provide information for improving the operation effect. Methods 48 cases of elderly patients with gastric cancer treated with radical operation were selected in our hospi-tal from July 2011 to July 2013. The clinical characteristics of the occurrence and development of their postoperative complications were analyzed. Risk factors were explored by univariate analysis and logistic regression analysis. Results Of the 48 patients, a total of 12 cases had postoperative complications, including 2 cases with two complications. The 12 cases included 2 cases of peritoneal infection, 1 case of cardiac insufficiency, 3 cases of intestinal obstruction, 1 case of pancreatic fistula, 1 case of anastomotic fistula, 1 case of in-cision dehiscence, 2 cases of pulmonary infection and 3 cases with heart and lung failure leading to death. Elderly patients with postop-erative complication were classified as complication group ( n=12 ) , while those without postoperative complication were classified as complication-free group (n=36). In comparison, operation time, operation mode, preoperative albumin, preoperative complications, tumor diameter, combined organ resection and blood transfusion (>850 mL) were closely related with serious postoperative complica-tions (P<0.05). It was found that albumin levels can reduce the incidence rate of postoperative complications. Preoperative complica-tions, blood transfusion (>850 mL), combined thoraco abdominal operation and combined organ resection were the risk factors of seri-ous postoperative complications. Conclusion Individualized treatment should be conducted in order to reduce the incidence of postop-erative complications in elderly patients with gastric cancer. In the precondition of smooth radical operation, massive blood transfusion and combined organ resection should be avoided, so as to reduce the risk of serious postoperative complications.