Logistic analysis of risky factors related to complications after laparoscopic D_2 gastrectomy for advanced gastric cancer

Objective: To analyse risky factors of postoperative complications after laparoscopic D2 gastrectomy for advanced gastric cancer. Methods: There were 90 patients with advanced gastric cancer undergoing laparoscopic D2 gastrectomy from Feb 2011 to Feb 2013. Logistic analysis were used to identify risky factors related to postoperative complications. Results: All of D2 radical procedures were performed successfully. 21 systemic complications in grade Ⅱ or higher,and 14 local complications in grade Ⅱ or higher occurred. Logistic analysis identified that age and associated deseases are risky factors related to systemic complications,age, type of reconstruction and undergoing neoadjuvant chemotherapy or not, were risky factors related to local complications.Conclusions: Laparoscopic D2 gastrectomy is a possible treatment for advanced gastric cancer,however risky factors related to postoperative complications should be controlled to ensure the security of these procedures.