Retrospective Study
Copyright ©The Author(s) 2022.
World J Gastrointest Surg. Jul 27, 2022; 14(7): 685-695
Published online Jul 27, 2022. doi: 10.4240/wjgs.v14.i7.685
Table 1 Post-surgical pulmonary complications
Complication-pulmonary
n
Ratio (n/total number of patients), %
Pleural cavity infection10.06
Respiratory tract infection30.18
Pneumothorax 30.18
Respiratory insufficiency70.43
Atelectasis 221.35
Pneumonia 301.84
Pleural effussion18411.27
Table 2 Univariate analysis of preoperative clinical risk factors related to pulmonary complications of hepatectomy
Variable
n
Pearson coefficient
P value1
Age (years old)0.0870.000
≥ 65147
< 651486
Medical diseases requiring drug treatment0.200< 0.001
Yes248
No1385
Child-pugh grade0.093< 0.001
A1463
B, C170
Number of segments resected0.124< 0.001
≤ 2 segments resected1046
≥ 3 segments resected587
Blood transfusion0.1820.000
Yes689
No944
Blood loss (mL)0.103< 0.001
≥ 800204
< 8001429
Operation duration (min)0.1690.000
≥ 180922
< 180711
Adjacent organ invasion0.0660.007
Yes18
No1615
Preoperative hospital stay (days)0.0980.000
≤ 71142
> 7491
Table 3 Multivariate analysis to screen and assign independent influencing factors of post-hepatectomy pulmonary complications
Variable
Odds ratio
P value1
χ1: Age (≥ 65 years old/< 65 years old)1.9260.011
χ2: Medical diseases requiring drug treatment (Yes/No)3.523< 0.001
χ3: Number of segments resected (≥ 3/≤ 2)1.6830.002
χ4: Operation duration (≥ 180 min/< 180 min)1.8960.004
χ5: Blood transfusion (Yes/No)1.8360.003
Table 4 New scoring system
Variable
Conditions
Scores
χ1: Age< 65 years old0
≥ 65 years old2
χ2: Medical diseases requiring drug treatment No0
Yes4
χ3: Number of segments resected ≤ 20
≥ 32
χ4: Operation duration< 180 min0
≥ 180 min2
χ5: Blood transfusionNo0
Yes2