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Surgical complications in gastric cancer patients preoperatively treated with chemotherapy: their risk factors and clinical relevance

Authors
 Ji Yeong An  ;  Kyung Min Kim  ;  Yoo Min Kim  ;  Jae-Ho Cheong  ;  Woo Jin Hyung  ;  Sung Hoon Noh 
Citation
 Annals of Surgical Oncology, Vol.19(8) : 2452-2458, 2012 
Journal Title
 Annals of Surgical Oncology 
ISSN
 1068-9265 
Issue Date
2012
Abstract
BACKGROUND: This study was designed to identify risk factors and oncological value for the development of postoperative complications after gastrectomy in gastric cancer patients with preoperative chemotherapy. METHODS: A total of 123 gastric cancer patients who underwent gastrectomy after chemotherapy were enrolled in this study. The incidence, type, risk factors, and prognostic value of surgical complications were evaluated. RESULTS: The postoperative complication rate was 29.3% and mortality rate was 1.6%. The development of postoperative complications was associated with operation time (>200 min) and transfusion during surgery. The resection extent, preoperative chemotherapy cycles and regimens, tumor stage, and patients' nutritional status were not predictive factors for the development of surgical complications. In the multivariate analysis, operation time was an independent risk factor for the development of postoperative complications (odds ratio, 3.813; P = 0.011). The median follow-up after surgery was 19 months. The 3-year, disease-free survival was 57.1% in patients without complications and 25.7% in patients with complications (P = 0.004). Multivariable analysis demonstrated postoperative complications were a significant prognostic factor for disease-free survival (hazard ratio, 2.676; P = 0.024). CONCLUSIONS: The incidence of surgical complications was high in gastric cancer patients who received preoperative chemotherapy. Long operation time was a risk factor for surgical complications, and the development of postoperative complication was predictive of patients' prognoses
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89555
DOI
10.1245/s10434-012-2267-9
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
김유민(Kim, Yoo Min) ; 노성훈(Noh, Sung Hoon) ; 정재호(Cheong, Jae Ho) ; 형우진(Hyung, Woo Jin)
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http://link.springer.com/article/10.1245%2Fs10434-012-2267-9
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