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Analysis on risk factors of complications in Da Vinci robotic-assisted surgical staging in the early stage of ovarian cancer

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Author:
No author available
Journal Title:
Progress in Obstetrics and Gynecology
Issue:
8
DOI:
10.13283/j.cnki.xdfckjz.2024.08.002
Key Word:
达芬奇机器人;卵巢癌;并发症;机器人辅助手术;危险因素;Da Vinci robot;Ovarian cancer;Complication;Robotic-assisted surgery;Risk factors

Abstract: Objective:To study the incidence and influence factors of complications in Da Vinci robotic-assisted laparoscopy in the comprehensive staging surgery of early ovarian cancer.Methods:The clinical data of patients with early ovarian cancer who underwent Da Vin-ci robotic-assisted comprehensive staging surgery from October 2014 to February 2023 in the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed.The incidence of postoperative complications was analyzed with univariate analysis and multivariate logistic re-gression analysis.Results:149 cases were included in this study,and 39 cases(26.2%)suf-fered postoperative complications,including12(8.1%)deep vein thrombosis,7(4.7%)lym-phocele,4(2.7%)pelvic abscess,4(2.7%)abdominal incisional hernia,4(2.7%)intestinal obstruction,3(2.0%)pulmonary embolism,3(2.0%)hydronephrosis and 2(1.3%)intraper-itoneal hemorrhage.Univariate analysis showed that age,body mass index(BMI),operating time and comorbidities(hypertension,coronary heart disease,diabetes mellitus)were related to the incidence of complications(P<0.05).Multivariate analysis showed that age,BMI and operating time were independent risk factors of complications(P<0.05).Multivariate analysis showed that BMI,operating time and comorbidities(hypertension,coronary heart disease,diabetes mel-litus)were the independent risk factors of short-term postoperative complications.Conclusion:Age,BMI and operating time are influencing factors to complications happens after comprehen-sive staging surgery of early ovarian cancer.

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