Early complications following total gastrectomy for gastric cancer

Journal of Surgical Oncology
N BudisinA Golubovic

Abstract

The study shows operative results with complications occurring in first 30 days after total gastrectomy for stomach cancer. A retrospective analysis was performed using medical documentation and histological findings for 76 patients after total gastrectomy was done between 1990 and 1997. Mortality and postoperative complications were analyzed. Complications were sorted as specific and nonspecific. All operations were performed either for intestinal gastric cancer located in proximal stomach or for diffuse stomach cancer. All anastomoses were hand sewn. There were 43 male and 33 female patients. Postoperative mortality was 14.4%. The most frequent complications were dehiscence of the oesophago-jejunal anastomosis in 15.8% of operated patients, postoperative temperature without apparent infection in 5.2%, thrombophlebitis in 5.2%, pneumothorax in 3.9%, hepatic necrosis in one patient (1.3%), and perforation of jejunal loop with nasogastric tube in another (1.3%) ended fatally. The average postoperative intra-hospital treatment lasted 12.3 days. Dehiscence of the oesophago-enteric anastomosis, resulted in generalized peritonitis in 66.6%. Six patients succumbed as a consequence, while two survived with subphrenic and interenteric ...Continue Reading

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Citations

Mar 25, 2010·Surgical Endoscopy·Gunnar LoskeChristian Müller
Sep 23, 2003·Annals of Surgery·Murray F Brennan
Jun 1, 2005·International Journal of Clinical Practice·R S Date, K J S Panesar
Mar 16, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Kyoung Won KimMin Woo Lee
Dec 22, 2014·World Journal of Surgical Oncology·Mamoru MorimotoHiromitsu Takeyama
Mar 2, 2016·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·S CelikR Kızıltan
Jun 5, 2019·Updates in Surgery·Leandro Cardoso BarchiIvan Cecconello
Aug 3, 2004·The British Journal of Surgery·P J LambN Hayes
Jul 25, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Renza TrapaniUNKNOWN ITALIAN RESEARCH GROUP FOR GASTRIC CANCER (GIRCG) Clinical Investigators

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