논문검색
Author Ha Woo Yi, Su Mi Kim, Sang Hyun Kim, Jung Ho Shim, Min Gew Choi, Jun Ho Lee, Jae Hyung Noh, Tae Sung Sohn, Jae Moon Bae, and Sung Kim
Place of duty Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Title Complications Leading Reoperation after Gastrectomy in Patients with Gastric Cancer: Frequency, Type, and Potential Causes
Publicationinfo Journal of Gastric Cancer 2013 Dec; 013(04): 242-246.
Key_word Stomach neoplasms; Postoperative complications; Gastrectomy; Reoperation
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Abstract Purpose: Reoperations after gastrectomy for gastric cancer are performed for many types of complications. Unexpected reoperations may cause mental, physical, and financial problems for patients. The aim of the present study was to evaluate the causes of reoperations and to develop a strategic decision-making process for these reoperations.Materials and Methods: From September 2002 through August 2010, 6,131 patients underwent open conventional gastrectomy operationsat Samsung Medical Center. Of these, 129 patients (2.1%) required reoperation because of postoperative complications. We performed a retrospective analysis of the patients using an electronic medical record review. Statistical data were analyzed to compare age, sex, stage, type of gastrectomy, length of operation, size of tumor, and number of lymph node metastasis between patients who had been operated and those who had not.Results: The variables of age, sex, tumor stage, type of gastrectomy, length of operation, and number of lymph node metastases did not differ between the 2 groups. However, the mean tumor size in the reoperation group was greater than that in the non-reoperation group (5.0±3.7 [standard deviation] versus 4.1±2.9, P=0.007). The leading cause of reoperation was surgical-site infection (n=49, 0.79%). Patients with intra-abdominal bleeding were operated on again in the shortest period after the initial gastrectomy (6.3±4.2 days). Patientswith incisional hernia were not reoperated on until after 208.3±81.0 days, the longest postoperative period.Conclusions: Tumor size was the major variable leading to reoperation after gastrectomy for gastric cancer. The most common complicationrequiring the reoperation was a surgical site-related complication.
출판정보 대한위암학회지 2013 Dec; 013(04): 242-246.

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