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| Analysis of Pathological Features and Postoperative Complications in 80 Elderly Patients with Malignant Gastrointestinal Tumor |
| ZHOU Ting-liang, CAO Ying |
| Xuzhou Tumor Hospital, Xuzhou, Jiangsu 221005 |
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Abstract 【Objective】To analyze the clinical pathological features and postoperative complications in elderly patients with malignant gastrointestinal tumors. 【Methods】A retrospective analysis of clinical data was carried out on 80 elderly (age >65 years) patients with malignant gastrointestinal tumors who received surgery in our hospital. According to the occurence of postoperative complications, patients were divided into the complication group (n=26) and non-complication group (n=54). Clinical pathological characteristics of patients between the two groups were analyzed to explore the related influencing factors of postoperative complications. 【Results】① In the 80 elderly patients with malignant gastrointestinal tumor, 26 patients had postoperative complications (32.50%). The complications were mainly infections of the incisional wound, pulmonary infections, and angiocardiopathy. Other complications included liver and kidney dysfunction and anastomotic leakage. ② Male patients made up a significantly higher proportion of the postoperative complications group, and their operative time and age were significantly greater than non-complication group. There were significant differences in frequency of complications, TNM staging, pathologic differentiation, lymph nodes cleanliness, and lymphatic metastasis between the two groups (P<0.05). ③ Multivariate regression analysis showed that age, operation time, preoperative complications, lymph node dissection type, and pathologic differentiation were all independent risk factors which influenced postoperative complications of patients with malignant gastrointestinal tumor (P<0.05). 【Conclusion】Age, gender, pathologic differentiation, lymph node dissection, and preoperative complications are independent risk factors which influence postoperative complications of elderly patients with malignant gastrointestinal tumor-indicating preparation for prevention and treatment of complications in clinic.
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Received: 11 July 2016
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2016, Vol. 33 
