위 절제술에서 영양 상태와 수혈이 합병증에 미치는 영향

이현정; 정도현; 장유진; 박성흠; 목영재

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자료유형: 학술저널

저자정보: 이현정 (고려대학교) 정도현 (고려대학교) 장유진 (고려대학교) 박성흠 (고려대학교) 목영재 (고려대학교)

저널정보: 대한종양외과학회 KOREAN JOURNAL OF CLINICAL ONCOLOGY Korean Journal of Clinical Oncology 제12권 제2호

발행연도: 2016.12

수록면: 97 - 103 (7page)

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이 논문의 연구 히스토리 (2)

2016

위 절제술에서 영양 상태와 수혈이 합병증에 미치는 영향

이현정 , 정도현 , 장유진 외 2명 KOREAN JOURNAL OF CLINICAL ONCOLOGY 2016.12 학술저널

위 절제술에서 영양상태와 수혈이 합병증에 미치는 영향

이현정 의학과 2016.01 학위논문

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Purpose: The aim of this study was to evaluate the impact of perioperative nutrition and transfusion affecting postoperative complications in gastric surgery.
Methods: From January through December in 2013, 181 patients who underwent curative gastrectomy for gastric adenocarcinoma at Korea University Guro Hospital were included. We collected general information, nutritional parameters (serum hemoglobin, albumin, total lymphocyte counts, and body mass index), operative method, perioperative transfusion and postoperative complications. The patients were divided into two groups by Clavien-Dindo classification: group I, no complication and Grade I complication; group II, above Grade II complication.
Results: The mean age of patients was 62.06 years, and 119 (65.7%) patients were men. The number of patients who suffered complications was 81 (44.8%), group I was 38 (21.0%) and group II was 33 (18.2%). According to the results of univariate analysis, sex, age, comorbidities, the American Society Anesthesiologists (ASA) classification and operative method had no significant effect on postoperative complications. Also in nutritional factors, serum hemoglobin, albumin, total lymphocyte counts, body mass index had no significant correlation with postoperative complications. The only independent factor correlated with postoperative complications was perioperative transfusion (odds ratio [OR], 2.424, 95% confidence interval [CI], 1.064–5.525; P=0.035) and operation time (OR, 1.007; 95% CI, 1.001–1.013; P=0.027) according to univariate analysis as well as multivariate analysis.
Conclusion: This study suggests that perioperative transfusion may play a significant role in the development of postoperative complications.

#Nutritional status #Blood transfusion #Postoperative complication #Stomach neoplasms #Gastrectomy

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