Dr Park and colleagues identified factors that predict morbidity and mortality in gastric cancer surgery.
The investigators reviewed data on 719 consecutive patients who underwent operations for gastric cancer at Seoul National University Hospital in 2002.
The investigative team found that overall morbidity and mortality rates were 17% and 0.6% respectively.
The team noted that the rates of surgical and non-surgical complications were 15% for morbidity and 3% for mortality.
| Morbidity was 36% for combined resection versus 15% for gastrectomy|
|British Journal of Surgery|
Morbidity rates were higher in patients aged over 50 years, when the gastric tumour was resected with another organ.
The team found that morbidity was 36% for combined resection versus 15% for gastrectomy only.
When gastrojejunostomy was used for reconstruction after subtotal gastrectomy, Billroth II was 17% versus 10% in Billroth I.
The researchers observed only 3 patients with a surgical complication underwent reoperation, 2 for adhesive obstruction and 1 for intra-abdominal bleeding.
Dr Park's team commented, “Age, combined resection and Billroth II reconstruction after radical subtotal gastrectomy were independently associated with the development of complications after gastric cancer surgery.”