Academic Journal
Risk Factors for Reoperation Following Radical Gastrectomy in Gastric Cancer Patients
| العنوان: | Risk Factors for Reoperation Following Radical Gastrectomy in Gastric Cancer Patients |
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| المؤلفون: | 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 |
| المصدر: | The American Surgeon™ ; volume 89, issue 5, page 1405-1413 ; ISSN 0003-1348 1555-9823 |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2021 |
| الوصف: | 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. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1177/00031348211050842 |
| الاتاحة: | https://doi.org/10.1177/00031348211050842 https://journals.sagepub.com/doi/pdf/10.1177/00031348211050842 https://journals.sagepub.com/doi/full-xml/10.1177/00031348211050842 |
| Rights: | https://journals.sagepub.com/page/policies/text-and-data-mining-license |
| رقم الانضمام: | edsbas.CAF3BED |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/00031348211050842 |
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