To analyze the influencing factors of postoperative enteroplegia in senile patients with gastric cancer after laparoscopic surgery.

The data of 312 senile patients with gastric cancer, admitted to the two hospitals from January 2018 to July 2019, were analyzed retrospectively. All the patients underwent radical laparoscopic surgery, According to the diagnostic criteria of intestinal paralysis, the patients were divided into the intestinal paralysis group (128 cases) and the non-intestinal paralysis group (184 cases). Statistical analysis were performed by using SPSS20.0 software. Univariate analysis of postoperative enteroplegia in the two groups were performed by using χ² test. Multivariate logistic regression analysis were performed for the statistically significant univariate analysis results, while OR and 95% confidence interval were calculated. A P value of <0.05 was considered as statistically significant difference.

Postoperative enteroplegia occurred in 128 elderly patients (41.03%) with gastric cancer. No intestinal paralysis occurred in 184 cases (58.97%). Compared with the non-enteroplegia group, there were statistically significant differences in terms of age, postoperative body temperature, use of opioids, TNM staging, operative time and procedures (P<0.05). Multi-factor analysis showed that the age of ≥ 65, postoperative body temperature of ≥38 ℃, use of opioids, TNM staging of ≥Ⅲ, operative time of ≥ 4 h, total gastrectomy were risk factors of postoperative enteroplegia of elderly patients with gastric cancer after laparoscopic surgery (OR>1, P<0.05).

Age of ≥ 65 years old, postoperative temperature, use of opioids, TNM staging of ≥ Ⅲ, duration of surgery of ≥4h, total gastrectomy are risk factors for enteroplegia after laparoscopic radical resection in senile gastric cancer patients. The preventive measures should be taken in clinical practice to avoid enteroplegia and improve the prognosis of patients.