Influencing factors of postoperative early delayed gastric emptying after minimally invasive Ivor-Lewis esophagectomy

Table 1 General information of patients with esophageal cancer after minimally invasive Ivor-Lewis esophagectomy n (%)

Item	No. of cases (n = 156)
Gender
Male	112 (71.79)
Female	44 (28.21)
Use of an analgesic pump	61 (39.10)
Bad habits
Smoking	67 (42.95)
Alcohol abuse	34 (21.79)
Underlying disease
Diabetes	34 (21.79)
Hypertension	21 (13.46)
Age (yr)
≥ 60	32 (20.51)
< 60	124 (79.49)
Anxiety score
≥ 45 points	111 (71.15)
< 45 points	45 (28.85)
Postoperative complication
DGE	49 (31.41)
Postoperative infection	8 (5.13)
Anastomotic leakage	11 (7.05)
Secondary surgery due to bleeding	7 (4.49)
Arrhythmia	9 (5.77)

DGE: Delayed gastric emptying.

Table 2 Univariate analysis of influential factors for early postoperative delayed gastric emptying in patients with esophageal cancer

Item	DGE group (n = 49)	Control group (n = 107)	t or χ2	P
Age (yr)	59.15 ± 9.85	50.98 ± 10.33	4.651	0.000
Gender (male/female)	35/14	77/30	0.005	0.945
Intraoperative blood loss (mL)	196.53 ± 70.91	176.26 ± 50.17	2.046	0.042
Chest drainage time (d)	9.97 ± 4.06	8.01 ± 6.32	1.989	0.048
Anxiety score (≥ 45 points/< 45 points)	25/24	20/87	17.114	0.000
Analgesic pump use (yes/no)	29/20	32/75	12.098	0.001
Perioperative albumin level (g/L)	27.43 ± 8.56	34.12 ± 7.43	-4.972	0.000
Interval from surgery to enteral nutrition (d)	3.42 ± 1.32	1.87 ± 0.96	8.281	0.000
Operative time (min)	276.15 ± 60.43	247.68 ± 57.31	1.438	0.152
Postoperative fluid volume (mL)	2034.56 ± 260.43	1544.96 ± 246.17	11.322	0.000
Diabetes (yes/no)	9/40	25/82	0.492	0.482

DGE: Delayed gastric emptying.

Table 3 Logistic regression analysis of influencing factors for early postoperative delayed gastric emptying in esophageal cancer patients

	B	SE	Wald	Odd ratio	95%CI		P
					Lower limit	Upper limit
Age	0.301	0.134	4.224	1.351	1.039	1.757	0.029
Anxiety score	0.702	0.197	4.678	2.017	1.371	2.968	0.033
Analgesia pump use	0.573	0.446	2.965	1.774	0.740	4.252	0.067
Perioperative albumin level (g/L)	-0.186	0.115	4.115	0.830	0.663	1.040	0.041
Chest drainage time (d)	0.508	0.411	1.792	1.662	0.743	3.719	0.128
Intraoperative blood loss (mL)	0.116	0.428	1.003	1.123	0.485	2.598	0.259
Interval from surgery to enteral nutrition (d)	0.490	0.344	2.522	1.632	0.832	3.203	0.078
Postoperative fluid volume (mL)	0.328	0.128	4.612	1.388	1.080	1.784	0.034