Complications requiring reoperation after gastrectomy for gastric cancer

17 Years experience in a single institute

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

Research output: Contribution to journalArticle

52 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)239-245
Number of pages7
JournalJournal of Gastrointestinal Surgery
Volume13
Issue number2
DOIs
Publication statusPublished - 2009 Feb 1

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Gastrectomy
Reoperation
Stomach Neoplasms
Intestinal Obstruction
Anastomotic Leak
Hospital Mortality
Acalculous Cholecystitis
Hemorrhage
Common Hepatic Duct
Wounds and Injuries
Peritonitis
Bile
Adhesives
Abscess
Pathologic Constriction
Medicine
Morbidity
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Cite this

Oh, Sung Jin ; Choi, Won Beom ; Song, Jyewon ; Hyung, WooJin ; Choi, Seung Ho ; Noh, Sung Hoon. / Complications requiring reoperation after gastrectomy for gastric cancer : 17 Years experience in a single institute. In: Journal of Gastrointestinal Surgery. 2009 ; Vol. 13, No. 2. pp. 239-245.
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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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Complications requiring reoperation after gastrectomy for gastric cancer : 17 Years experience in a single institute. / Oh, Sung Jin; Choi, Won Beom; Song, Jyewon; Hyung, WooJin; Choi, Seung Ho; Noh, Sung Hoon.

In: Journal of Gastrointestinal Surgery, Vol. 13, No. 2, 01.02.2009, p. 239-245.

Research output: Contribution to journalArticle

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AU - Oh, Sung Jin

AU - Choi, Won Beom

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N2 - 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.

AB - 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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