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Complications Requiring Reoperation after Gastrectomy for Gastric Cancer: 17 Years Experience in a Single Institute

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Introduction

Morbidity and mortality rates following gastric cancer surgery are still high. The present study documented complications requiring reoperation after gastrectomy for gastric cancer and described surgical management for each complication.

Materials and Methods

Between 1987 and 2004, 8,033 patients underwent gastrectomy at the Department of Surgery, College of Medicine, Yonsei University, and the records were reviewed.

Results and discussion

The most frequent complication was intestinal obstruction (88 patients, 54.3%), followed by intraabdominal bleeding (15, 9.3%), wound dehiscence or evisceration (15, 9.3%), incisional hernia (15, 9.3%), anastomotic leakage (seven, 4.2%), acalculous cholecystitis (five, 3.1%), duodenal stump leakage (five, 3.1%), intraabdominal abscess without leakage (five, 3.1%), bowel perforation (five, 3.1%), bile peritonitis due to hepatic duct injury (one, 0.6%), and biliary stricture (one, 0.6%). There were ten cases of hospital mortality (6.2%) from intraabdominal bleeding (four patients), intestinal obstruction (four patients), and anastomotic leakage (two patients). The most common long-term complication requiring reoperation was intestinal obstruction (69, 75.8%) due to adhesive formation rather than technical failure, while short-term complications were surgery-related and associated with high hospital mortality (14.1%).

Conclusion

Proper preoperative preparation and faultless surgical skills are required during initial surgery to reduce complications and the need for reoperation.

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Acknowledgments

This work was supported by a Korea Science and Engineering Foundation (KOSEF) grant funded by the Korean government (MOST) (R11-2000-082-02009-0).

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Authors and Affiliations

  1. Department of Surgery, College of Medicine, Yonsei University, 134 Shinchon-dong Seodaemun-gu, Seoul, 120-752, South Korea

    Sung Jin Oh, Won Beom Choi, Jyewon Song, Woo Jin Hyung, Seung Ho Choi & Sung Hoon Noh

  2. Cancer Metastasis Research Center, College of Medicine, Yonsei University, Seoul, 120-752, South Korea

    Sung Jin Oh, Won Beom Choi, Woo Jin Hyung & Sung Hoon Noh

  3. Brain Korea 21 Project for Medical Science, College of Medicine, Yonsei University, Seoul, 120-752, South Korea

    Sung Hoon Noh

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  1. Sung Jin Oh
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  2. Won Beom Choi
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  3. Jyewon Song
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Yonsei Gastric Cancer Clinic

Corresponding author

Correspondence to Sung Hoon Noh.

Additional information

This work was done through the Yonsei Gastric Cancer Clinic, Severance Hospital, College of Medicine, Yonsei University, Seoul, South Korea.

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Oh, S.J., Choi, W.B., Song, J. et al. Complications Requiring Reoperation after Gastrectomy for Gastric Cancer: 17 Years Experience in a Single Institute. J Gastrointest Surg 13, 239–245 (2009). https://doi.org/10.1007/s11605-008-0716-3

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  • DOI: https://doi.org/10.1007/s11605-008-0716-3

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