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Risk factors for postoperative pneumonia after gastrectomy for gastric cancer

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Abstract

Purpose

The number of elderly patients undergoing gastrectomy for gastric cancer is increasing. Yet, although elderly patients are at high risk of postoperative pneumonia, no study has sufficiently investigated which clinicopathological factors are significant risk factors for the development of this complication after gastrectomy with lymph node dissection.

Methods

We reviewed the medical records of 750 patients who underwent gastrectomy between January 2010 and May 2012, to establish the incidence of postoperative pneumonia (Clavien–Dindo grade II or higher). Univariate and multivariate analyses were performed to identify the risk factors for postoperative pneumonia.

Results

Thirty-two patients (4.3 %) suffered postoperative pneumonia, diagnosed as grades I, II, IIIa, and IVa, in 2 (0.3 %), 28 (3.7 %), 1 (0.2 %), and 1 (0.2 %) patient(s), respectively. Univariate analysis revealed that age (≥75 years), sex (male), diabetes mellitus (DM), a history of smoking, and impairment of respiratory function were significantly associated with postoperative pneumonia. Multivariate analysis revealed that age, impaired postoperative respiratory function, DM, and blood transfusion were independent risk factors for postoperative pneumonia.

Conclusions

Age, impaired postoperative respiratory function, DM, and blood transfusion were identified as independent risk factors for postoperative pneumonia after gastrectomy.

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Conflict of interest

We have no conflict of interest to declare.

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Authors and Affiliations

  1. Division of Gastric Surgery, Shizuoka Cancer Center, 1007, Shimonagakubo, Nagaizumi-cho, Shizuoka, 411-8777, Japan

    Yuichiro Miki, Rie Makuuchi, Masanori Tokunaga, Yutaka Tanizawa, Etsuro Bando, Taiichi Kawamura & Masanori Terashima

Authors
  1. Yuichiro Miki
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  2. Rie Makuuchi
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  3. Masanori Tokunaga
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  4. Yutaka Tanizawa
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  5. Etsuro Bando
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  6. Taiichi Kawamura
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  7. Masanori Terashima
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Correspondence to Masanori Terashima.

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Miki, Y., Makuuchi, R., Tokunaga, M. et al. Risk factors for postoperative pneumonia after gastrectomy for gastric cancer. Surg Today 46, 552–556 (2016). https://doi.org/10.1007/s00595-015-1201-8

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  • DOI: https://doi.org/10.1007/s00595-015-1201-8

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