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Postoperative Morbidity and Mortality Following D2 Gastrectomy-an Audit of 456 Cases

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Abstract

Background

D2 gastrectomy is routinely performed in Japanese centres for carcinoma stomach with low morbidity and mortality. There were concerns in Western centres with regard to D2 gastrectomy in view of high morbidity and mortality rates. This study was aimed to study the postoperative morbidity and mortality following D2 gastrectomy for carcinoma stomach in a high volume centre in India.

Methods

It was a retrospective analysis of all the patients who underwent D2 gastrectomy from 1991 to 2010.

Results

D2 gastrectomy was performed in 456 patients during this period. Respiratory events were the most common cause of morbidity in the study group (2.4 %). Male gender (p = 0.007), presence of gastric outlet obstruction (p = 0.01) and pathological T4 (p = 0.05) independently predicted increased post operative morbidity in multivariate analysis. The morbidity and mortality rates declined with increase in hospital volume and experience of the surgeon.

Conclusion

D2 gastrectomy for carcinoma stomach can be performed safely in specialized centres with low morbidity and mortality rates.

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Acknowledgments

We wish to acknowledge the immense help rendered by Dr. Rama Ranganathan in statistical analysis.

Conflicts of Interest

The authors declare that there is no conflict of interest.

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Authors and Affiliations

  1. Department of Surgical Oncology, Cancer Institute (WIA), Dr.S.Krishnamurthy Campus, No. 18, Sardar Patel road, Guindy, Chennai, 600036, India

    Bhanu Jayanand Sunil, Ramakrishnan Ayloor Seshadri & Hemanth Raj Ellusami

  2. Madras Cancer Care Foundation, Chennai, India

    Vikash Mahajan

Authors
  1. Bhanu Jayanand Sunil
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  2. Ramakrishnan Ayloor Seshadri
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  3. Vikash Mahajan
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  4. Hemanth Raj Ellusami
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Correspondence to Ramakrishnan Ayloor Seshadri.

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Sunil, B.J., Seshadri, R.A., Mahajan, V. et al. Postoperative Morbidity and Mortality Following D2 Gastrectomy-an Audit of 456 Cases. Indian J Surg Oncol 7, 4–10 (2016). https://doi.org/10.1007/s13193-015-0440-x

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  • DOI: https://doi.org/10.1007/s13193-015-0440-x

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