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

作者：Lei Huang, Jianqiang Wu, Bing Han, Zhi Wen, Pei-Rui Chen, Xiao-Kang Sun, Xiang-Dong Guo, Changming Zhao · 发表于：World Journal of Clinical Cases · 年份：2019 · DOI：10.12998/wjcc.v7.i3.291 · 被引用次数：4 · 研究领域：Esophageal Cancer Research and Treatment、Pancreatic and Hepatic Oncology Research、Gastric Cancer Management and Outcomes

BACKGROUND: The main clinical treatment for esophageal cancer is surgery. Since traditional open esophageal cancer resection has the disadvantages of large trauma, long recovery period, and high postoperative complication rate, its clinical application is gradually reduced. The current report of minimally invasive Ivor-Lewis esophagectomy (MIILE) is increasing. However, researchers found that patients with MIILE had a higher incidence of early delayed gastric emptying (DGE). AIM: To investigate the influencing factors of postoperative early DGE after MIILE. METHODS: = 107). The differences between the DGE group and the control group were compared. Multivariate logistic regression analysis was used to further determine the influencing factors of postoperative early DGE. The receiver operating characteristic (ROC) curve was used to assess potential factors in predicting postoperative early DGE. RESULTS: < 0.05). The ROC curve analysis revealed that the area under the curve (AUC) for anxiety score was 0.720. The optimum cut-off value was 39, and the sensitivity and specificity were 80.37% and 65.31%, respectively. The AUC for postoperative fluid volume were 0.774. The optimal cut-off value was 1191.86 mL, and the sensitivity and specificity were 65.3% and 77.6%, respectively. The AUC for perioperative albumin level was 0.758. The optimum cut-off value was 26.75 g/L, and the sensitivity and specificity were 97.2% and 46.9%, respectively. CONCLUSION: Advanced age, postoperative an...