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- Title
Risk Factors for Reoperation Following Radical Gastrectomy in Gastric Cancer Patients.
- Authors
Kim, Dong-Hwan; Park, Ji-Ho; Kim, Tae Han; Jung, Eun-Jung; Jeong, Chi-Young; Ju, Young-Tae; Kim, Ju-Yeon; Park, Tae-Jin; Lee, Young-Joon; Jeong, Sang-Ho
- Abstract
Background: Reoperation due to elective surgery complications is very mentally, physically, and economically detrimental to patients. This study investigated the potential risk factors associated with early reoperation after radical gastrectomy in gastric cancer patients and included an in-depth analysis of these risk factors. Methods: This retrospective study reviewed 1568 patients with gastric cancer. Grade 3 or greater complications were defined as severe. Any factors related to reoperation after radical gastrectomy were analyzed in patients with severe local complications. Results: Among 1537 patients undergoing radical gastrectomy, 115 (7.5%) patients had severe postoperative complications, 98 (6.38%) of whom experienced severe local complications. The most common local complication was anastomotic leakage (31, 2.02%), followed by intra-abdominal abscess (30, 1.95%), pancreatic leakage (22, 1.43%), duodenal stump leakage (18, 1.17%), intra-abdominal bleeding (12,.78%), intraluminal bleeding (8,.52%), small bowel obstruction (5,.32%), and chyle leakage (3,.19%). Of these patients, 26 (1.69%) underwent reoperation, and 6 (.39%) died. In the univariate analysis of clinical factors related to reoperation, intra-abdominal bleeding and small bowel obstruction were risk factors for reoperation, and intra-abdominal bleeding (odds ratio [OR] = 9.57, confidence interval [CI] = 2.65-40.20, P <.001) and small bowel obstruction (OR = 19.14, CI = 2.60-390.13, P =.011) were independent risk factors associated with reoperation in the multivariate analysis. Conclusion: Intra-abdominal bleeding and small bowel obstruction are independent risk factors for reoperation following radical gastrectomy. Patients with postoperative intra-abdominal bleeding and small bowel obstruction need to be warned about reoperation.
- Subjects
GASTRECTOMY; STOMACH cancer; CANCER patients; SURGICAL complications; BOWEL obstructions; REOPERATION; DUODENAL obstructions
- Publication
American Surgeon, 2023, Vol 89, Issue 5, p1405
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/00031348211050842