Factor analysis of postsurgical gastroparesis syndrome after right hemicolectomy for colon cancer

Abstract

The present study aimed to investigate factors influencing postsurgical gastroparesis syndrome (PGS) in patients with right‑sided colon cancer. In total, 260 patients who underwent complete mesocolic excision for right‑sided colon cancer were included in the present analysis. Among the included patients, 69 underwent open radical right‑sided colon resection, 175 underwent laparoscopic radical right‑sided colon resection and 16 underwent robot‑assisted radical right‑sided colon resection. The occurrence of PGS was observed, and both the χ² test and multivariate regression analysis were conducted to identify influencing factors. Among the 260 patients, 32 experienced PGS, with an incidence rate of 12.3%. Univariate analysis demonstrated that age, perioperative blood glucose levels, self‑rated anxiety scale scores and surgical approach were significantly associated with PGS (P<0.05), whereas sex, surgical duration, diabetes and perioperative albumin levels were not significant factors (P>0.05). Multivariate logistic regression analysis showed that age >70 years, perioperative blood glucose ≥11.1 mmol/l, a self‑rating anxiety scale score ≥50 and radical extended right‑sided colon resection were risk factors for PGS occurrence. In conclusion, the occurrence of PGS in patients with right‑sided colon cancer was revealed to be associated with age, perioperative blood glucose levels, self‑rated anxiety scale scores and surgical approach.