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Complications requiring reoperation after gastrectomy for gastric cancer: 17 years experience in a single institute

Authors
 Sung Jin Oh  ;  Won Beom Choi  ;  Jyewon Song  ;  Woo Jin Hyung  ;  Seung Ho Choi  ;  Sung Hoon Noh 
Citation
 Journal of Gastrointestinal Surgery, Vol.13(2) : 239-245, 2009 
Journal Title
 Journal of Gastrointestinal Surgery 
ISSN
 1091-255X 
Issue Date
2009
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.
Full Text
http://link.springer.com/article/10.1007%2Fs11605-008-0716-3
DOI
10.1007/s11605-008-0716-3
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
노성훈(Noh, Sung Hoon) ORCID logo https://orcid.org/0000-0003-4386-6886
송재원(Song, Jye Won)
오성진(Oh, Sung Jin)
최승호(Choi, Seung Ho) ORCID logo https://orcid.org/0000-0002-9872-3594
최원범(Choi, Won Beom)
형우진(Hyung, Woo Jin) ORCID logo https://orcid.org/0000-0002-8593-9214
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103520
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