Risk Factors Analysis For Pulmonary Complications In Patients With Hepatocellular Carcinoma After Hepatic Resection

Objective:To find the risk factors for postoperative pulmonary complications (PPCs) after hepatocellular carcinoma radical surgery, and to provide ideas for how to reduce or avoid the occurrence of postoperative pulmonary complications.Methods:collect the information of the patients with hepatocellular carcinoma whose hepatectomy were performed between January2008and December2009in the second affiliated hospital of Zhejiang university college of medicine,.Use univariate analysis (x2test, t test),multivariate regression analysis for screening the risk factors for postoperative pulmonary complicationsResults:106patients were admitted to the program, postoperative pulmonary complications was identified in22patients (20.7%),including pleural effusion, pneumonia. Univariate analyses showed that the patients with Moist rales heared in lung auscultation (P<0.005),Lower preoperative albumin level (P<0.038), prolonged operation time (P<0.005), Prolonged anesthesia time (P<0.005) and a large amount of intraoperative blood transfusion were easier to get postoperative pulmonary complications(Pleural effusion, pneumonia).The multivariate logistic regression analysis identified preoperative albumin level (OR=0.044) as an independent risk factor for postoperative pulmonary complications.Conclusion:preoperative albumin level (P<0.044) was independent risk factor for postoperative pulmonary complications after hepatocellular carcinoma radical surgery.