UNASSIGNED: 302 patients following gastric resections over a 10-year period (January 2009-January 2020) were identified in a database and retrospectively analysed. Epidemiological as well as perioperative data was analysed, and a univariate and multivariate analysis performed to identify risk factors for in-hospital mortality.
UNASSIGNED: In general, gastrectomies were mainly performed electively (total vs. subtotal 95% vs. 85%, p = 0.004). Patients having subtotal gastrectomy needed significantly more PRBC transfusions compared to total gastrectomy (p = 0.039). Most emergency surgeries were performed for benign diseases, such as ulcer perforations or bleeding and gastric ischaemia. Only emergency surgery was significantly associated with poorer overall survival (HR 2.68, 95% CI 1.32-5.05, p = 0.003).
UNASSIGNED: In-hospital mortality was comparable between total and subtotal gastrectomies. Only emergency interventions increased postoperative fatality risk.
■在10年期间(2009年1月至2020年1月)胃切除术后的302例患者在数据库中进行了鉴定并进行了回顾性分析。分析了流行病学和围手术期数据,进行单因素和多因素分析以确定院内死亡的危险因素.
■一般来说,胃切除术主要是选择性进行(总与小计95%与85%,p=0.004)。与全胃切除术相比,胃大部切除术的患者需要更多的PRBC输血(p=0.039)。大多数紧急手术是针对良性疾病进行的,如溃疡穿孔或出血和胃缺血。仅急诊手术与较差的总生存率显着相关(HR2.68,95%CI1.32-5.05,p=0.003)。
■全胃切除术和次全胃切除术的住院死亡率相当。只有紧急干预才会增加术后死亡风险。