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| Analysis of Related Factors of Cholecystitis after Radical Gastrectomy for Gastric Cancer |
| WANG Ling, WU Shao-feng, FAN De-qing, et al |
| Department of General Surgery, Shaanxi Province Nuclear Industry 215 Hospital,Xianyang 712000,China |
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Abstract 【Objective】To investigate the influencing factors of postoperative cholecystitis in patients undergoing radical gastrectomy for gastric cancer. 【Methods】Clinical data of 180 cases of radical gastrectomy for gastric cancer treated in our hospital from May 2011 to April 2016 were selected. The selected subjects were followed up and divided into observation group 1 month after operation (n=59, cholecystitis complicated) and control group (n=121, without cholecystitis after operation complication). The clinical data of the two groups were compared and analyzed. The Logistic regression analysis of single factor with statistical difference was carried out.【Results】The difference in the fasting blood glucose abnormalities, the choice of surgical methods, whether No.8a lymph node dissection and No.12 lymph node dissection were compared between the observation group and the control group, the difference was statistically significant (P＜0.05).The abnormality of fasting blood glucose, the choice of operation mode, whether No.8a lymph node dissection and No.12 lymph node dissection were the independent risk factors for postoperative cholecystitis in patients with gastric cancer (P＜0.05).【Conclusion】Patients with preoperative fasting glucose abnormalities or those requiring total gastrectomy should be closely observed for postoperative cholecystitis. For patients without these conditions, care must be taken to protect the associated nerve during surgical dissection of the lymph nodes so to reduce injury as much as possible and maintain the normal function of the gallbladder after surgery, thus effectively reduce the incidence of postoperative cholecystitis.
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Received: 09 December 2016
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2017, Vol. 34 
